Individual
DR. KENNETH L KASSOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4300 AURORA AVE N, SUITE 100, SEATTLE, WA 98103-7379
(206) 859-5030
(206) 859-5031
Mailing address
4300 AURORA AVE N, SUITE 100, SEATTLE, WA 98103-7379
(206) 859-5030
(206) 859-5031
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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