Doctor Name: | MS. LISA CASEY |
NPI Number: | 1033440771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 6193 |
Business Practice Address: | 27 Winter St Natick, MA - 017601015 |
Business Phone Number: | 5086556400 |
Business Fax Number: | 5086471839 |
Mailing Address: | 27 Winter St, NATICK |
State: | MA |
Postal Code: | 017601015 |
Phone Number: | 5086556400 |
Fax Number: | 5086471839 |
NPI Enumeration Date: | 01/20/2010 |
NPI Last Update Date: | 01/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |