NPI 1104434190

Andrew Mark Kiselica, PHD

Practitioner Clinical Neuropsychologist Columbia, MO

Practice location

Address: 701 S 5th St Clark Hall Rm 501, Columbia, MO 65211-0001
Phone: (573) 882-1561
Fax: (573) 884-1889
Mailing address: PO Box 843966, Kansas City, MO 64184-3966

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2020008417 (MO)

Other Clinical Neuropsychologist providers in Missouri →

Registry record

NPI: 1104434190
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2020
Record last updated: 5 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.