Mary E Casey, MA LP
Individual provider Active NPI Psychologist · Northfield, MN
NPI 1629059688 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629059688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP3563 (MN)
- Practice address
- 301 South Division St
Northfield, MN 55057 - Phone
- (507) 650-4127
- Fax
- (507) 650-9261
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3563 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casey Fischer and Associates LLP | Psychologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3563 | MN | Yes |
Addresses
Primary practice location
301 South Division St
Northfield, MN 55057
Mailing address
301 South Division St
Northfield, MN 55057
Phone (507) 650-4127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60G07CA | Other | MN | BLUE CROSS BLUE SHIELD |
| 6252382 | Other | MN | MEDICA |
| 6252382 | Other | MN | UNITED HEALTH CARE |
Other names
- Mary Casey Hvistendahl
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.