Tressa Kay Reisetter, PHD, LP, NCSP is a
Clinical Neuropsychologist based in Big Lake, Minnesota. Tressa Kay Reisetter is licensed to practice in Minnesota (license number LP4752) and her current practice location is
621 Red Oak Dr, Big Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 597-2737.
NPI number for Tressa Kay Reisetter is 1467597567 and her current mailing address is 621 Red Oak Dr, Big Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467597567.
Healthcare Provider's Profile
| Full Name | Tressa Kay Reisetter |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 621 Red Oak Dr, Big Lake, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467597567
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 04/17/2020
Medical Identifiers
Medical identifiers for Tressa Kay Reisetter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467597567 | NPI | - | NPPES |
| 14450911 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2019014342 (Missouri) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP4752 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tressa Kay Reisetter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tressa Kay Reisetter, PHD, LP, NCSP
621 Red Oak Dr,
Big Lake, MN 55309-9585
Ph: (612) 597-2737 | Tressa Kay Reisetter, PHD, LP, NCSP
621 Red Oak Dr,
Big Lake, MN 55309-9585
Ph: (612) 597-2737 |
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