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Contact Information

JASON T CASPILLO
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN55112-1786
 Phone: 651-412-4137
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JASON T CASPILLO · (Male)

NPI # 1780227736
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2019
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 305445
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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