Kiselica, Andrew Mark
Kiselica, Andrew Mark is an individual health care provider with primary practice located at 701 S 5Th St Clark Hall Rm 501, Columbia MO 65211-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Kiselica, Andrew Mark can be contacted via phone (573) 882-1561.Contact Information
Primary practice address
701 S 5Th St Clark Hall Rm 501
Columbia MO 65211-0001
Phone: (573) 882-1561
Fax: (573) 884-1889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2020008417 | Missouri |
Profile Details
| NPI number | 1104434190 |
|---|---|
| LBN Legal business name | Kiselica, Andrew Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2020 |
| Last updated | Oct 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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