Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE JOANN KISTLER, MS ED
ActiveMARIE JOANN KISTLER, MS ED is a Clinical Psychologist healthcare provider located in BENIDJI, Minnesota. NPI 1376528653 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BENIDJI, MN
Registration Details
- NPI Number
- 1376528653
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2005 (20.637335084768 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP0163 (MN)
Practice Information
- Address
-
403 4TH ST NWSTE 110BENIDJI, MN, 56601Browse MN providers · Browse ZIP 56601
- Phone
- 2187592825
- Fax
- 2187592825
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.