Individual
DR. JESSICA THERESA KASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-6500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 993-6500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4665
MN
103TC0700X
Clinical Psychologist
LP4665
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046556
PREFERREDONE
MN
01
—
113308
UCARE MINNESOTA
MN
01
—
26738
NORTH DAKOTA BLUE SHIELD
ND
05
—
556874900
—
MN
01
—
89G98KA
BLUE SHIELD OF MN
MN
01
—
HP60844
HEALTHPARTNERS
MN
Enumeration date
05/27/2006
Last updated
08/09/2024
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