| Casserly & Associates Pc | |
|
508 E National Ave Brazil IN 47834-2634 | |
| (812) 443-0404 | |
| (812) 448-9159 |
| Full Name | Casserly & Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 508 E National Ave, Brazil, Indiana |
| Authorized Official Name and Position | Richard Joseph Casserly (PRESIDENT) |
| Authorized Official Contact | 8124430404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casserly & Associates Pc 508 E National Ave Brazil IN 47834-2634 Ph: (812) 443-0404 | Casserly & Associates Pc 508 E National Ave Brazil IN 47834-2634 Ph: (812) 443-0404 |
| NPI Number | 1407059124 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 09/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407059124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040734A (Indiana) | Primary |
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