Doctor Name: | MS. CASEY MARY MCCALL |
NPI Number: | 1306184726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1157 Reece Road Severn, MD - 21144 |
Business Phone Number: | 3013776869 |
Business Fax Number: | 4105516367 |
Mailing Address: | 1157 Reece Road, SEVERN |
State: | MD |
Postal Code: | 21144 |
Phone Number: | 3013776869 |
Fax Number: | 4105516367 |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |