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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK KASL, PH.D.

Active Sole Proprietor

DR. JACK KASL, PH.D. is a Clinical Psychologist healthcare provider located in FOREST LAKE, Minnesota. NPI 1174614150 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FOREST LAKE, MN

Registration Details

NPI Number
1174614150
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2006 (19.857716744212 yrs)
Last Updated
Jul 8, 2007
License
LP1955 (MN)
Sole Proprietor
Yes

Practice Information

Address
1790 11TH ST SE
FOREST LAKE, MN, 550251968
Browse MN providers · Browse ZIP 55025
Phone
6128678451
Fax
7635520787
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in FOREST LAKE, MN

Name Credential NPI
JEFFRY R PENWARDEN PHD, LP 1871544478
DR. DORIS HERR PSY.D., LP 1780603423
DR. JULIE ESCHENLAUER PSY.D. 1164728176
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.