Individual
DR. MARK ALAN KOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
203 W CLARK ST, ALBERT LEA, MN 56007-2549
(507) 377-5440
Mailing address
203 WEST CLARK, ALBERT LEA, MINNESOTA 56007, ALBERT LEA, MN 56007-3140
(507) 377-5440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4546
MN
103TC0700X
Clinical Psychologist
LP4546
MN
Other
Enumeration date
12/28/2006
Last updated
05/24/2018
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