Ms. Phyllis Kasper
Health Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist
5300 Memorial Dr
Two Rivers
, Wisconsin 54241-3923
Ms. Phyllis Kasper
Health Psychologist Clinical Psychologist Cognitive & Behavioral Psychologist
5300 Memorial Dr
Two Rivers
, Wisconsin 54241-3923
(920) 793-7430
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Health Psychologist
Languages spoken
- English
Location
First Address
- Ms. Phyllis Kasper
- 5300 Memorial Dr
- Two Rivers, WI
- Zip : 54241-3923
- Fax : (920) 793-7430
- Phone : (920) 793-7420
Second Address
- Ms. Phyllis Kasper
- 5300 Memorial Dr
- Two Rivers, WI
- Zip : 54241-3923
- Fax : (920) 793-7430
- Phone : (920) 793-7420
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Is Ms. Phyllis Kasper a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 770 057 | WI |
| Y | 103G00000X | Clinical Psychologist | 770-057 | WI |
| Y | 103TC0700X | Clinical Psychologist | 770-057 | WI |
| N | 103TH0004X | Health Psychologist | 770-057 | WI |
National Provider Identifier
| NPI | 1215913207 |
|---|---|
| Provider Name | Ms. Phyllis Kasper |
| First Address | Two Rivers, WI 54241-3923 |
| Second Address | Two Rivers, WI 54241-3923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 09/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39016500 | (05) | WI |
| R56492 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.