IndividualActive
Andrew Kiselica, PHD
NPI 1104434190 · Clinical Neuropsychologist · Columbia, MO
Provider details
- NPI number
- 1104434190
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2020008417 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
701 S 5th St
Clark Hall Rm 501
Columbia, MO 65211-0001
Phone: (573) 882-1561
Fax: (573) 884-1889
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843966
Kansas City, MO 64184-3966
Registry dates
- Enumerated
- 2020-07-16
- Last updated
- 2022-10-05
- Certified
- 2022-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.