Casey, Patrick T

Casey, Patrick T is an individual health care provider with primary practice located at 314 W Catalpa Suite E, Mishawaka IN 46545. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Casey, Patrick T can be contacted via phone (574) 254-1700.

Contact Information

Primary practice address
314 W Catalpa Suite E Mishawaka IN 46545
Phone: (574) 254-1700
Fax: (574) 254-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040647A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301010565 Michigan

Profile Details

NPI number 1295789980
LBN Legal business name Casey, Patrick T
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295789980 NPPES
Indiana MEDICAID 100383345A
Indiana MEDICAID 5170415

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