| Doctor Name: | MS. PHYLLIS KASPER |
| NPI Number: | 1215913207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 770 057 |
| Business Practice Address: | 5300 Memorial Dr Two Rivers, WI - 542413923 |
| Business Phone Number: | 9207937420 |
| Business Fax Number: | 9207937430 |
| Mailing Address: | 5300 Memorial Dr, TWO RIVERS |
| State: | WI |
| Postal Code: | 542413923 |
| Phone Number: | 9207937420 |
| Fax Number: | 9207937430 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 07/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 770 057 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |