Tressa Kay Reisetter, PHD, LP, NCSP - in Big Lake, MN

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.

Contact Information

Tressa Kay Reisetter, PHD, LP, NCSP
621 Red Oak Dr,
Big Lake, MN 55309-9585
(612) 597-2737
Not Available



Healthcare Provider's Profile

Full NameTressa Kay Reisetter
GenderFemale
SpecialityClinical Neuropsychologist
Location621 Red Oak Dr, Big Lake, Minnesota
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1467597567NPI-NPPES
14450911OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2019014342 (Missouri)Secondary
103G00000XClinical 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 AddressPractice 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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