| Doctor Name: | CASEY JENNIFER DAWSON |
| NPI Number: | 1154652030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY9406 |
| Business Practice Address: | 6320 Venture Dr Ste 203 Lakewood Ranch, FL - 342025132 |
| Business Phone Number: | 9413630878 |
| Business Fax Number: | |
| Mailing Address: | 6120 Glen Abbey Ln, BRADENTON |
| State: | FL |
| Postal Code: | 342029735 |
| Phone Number: | 8054585592 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2010 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY9406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |