Doctor Name: | DR. CASEY ELIZABETH KRUEGER |
NPI Number: | 1871785188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 34712 |
Business Practice Address: | 750 Welch Rd Suite 212 Palo Alto, CA - 943041507 |
Business Phone Number: | 6507258995 |
Business Fax Number: | |
Mailing Address: | 38 Lilac Ln, SOUTH SAN FRANCISCO |
State: | CA |
Postal Code: | 940802655 |
Phone Number: | 9253243867 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 34712 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |