| Doctor Name: | KASEY AUTMAN |
| NPI Number: | 1881099943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | M8027 |
| Business Practice Address: | 116 J E Johnson Rd Prentiss, MS - 39474 |
| Business Phone Number: | 6017924872 |
| Business Fax Number: | |
| Mailing Address: | 4100 Mamie St, HATTIESBURG |
| State: | MS |
| Postal Code: | 394021735 |
| Phone Number: | 6017051906 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | M8027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |