Casserly & Associates PC
Organization Active NPI Psychologist · Brazil, IN
NPI 1407059124 · NPPES record last updated Sep 17, 2007
Key facts
- NPI
- 1407059124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 20040734A (IN)
- Legal business name
- CASSERLY & ASSOCIATES PC
- Practice address
- 508 E National Ave
Brazil, IN 47834-2634 - Phone
- (812) 443-0404
- Fax
- (812) 448-9159
- NPI assigned
- Jun 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard Joseph Casserly, PSY.D.
- Title
- President
- Phone
- (812) 443-0404
National Provider Directory
Locations
508 E National Ave
Brazil, IN 47834
Phone (812) 443-0404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 20040734A | IN | Yes |
Addresses
Primary practice location
508 E National Ave
Brazil, IN 47834-2634
Mailing address
508 E National Ave
Brazil, IN 47834-2634
Phone (812) 443-0404
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.