Doctor Name: | CASEY E NOREIKA |
NPI Number: | 1003206830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 071009026 |
Business Practice Address: | 1440 W North Ave Suite 303-a Melrose Park, IL - 601601422 |
Business Phone Number: | 8778075120 |
Business Fax Number: | 7084604275 |
Mailing Address: | 1440 W North Ave, Suite 303-a MELROSE PARK |
State: | IL |
Postal Code: | 601601422 |
Phone Number: | 8778075120 |
Fax Number: | 7084604275 |
NPI Enumeration Date: | 02/02/2015 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071009026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |