Doctor Name: | DR. KASEE STRATTON |
NPI Number: | 1326463001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., NCSP |
License Number: | 258015 |
Business Practice Address: | 326 Hardy Road Tk Martin Center Mississippi State University Mississippi State, MS - 39762 |
Business Phone Number: | 6623251028 |
Business Fax Number: | 6623250896 |
Mailing Address: | 379 Kirk Cauldy Dr, STARKVILLE |
State: | MS |
Postal Code: | 397597265 |
Phone Number: | 9896212303 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 258015 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |