Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103G00000X | Clinical Psychologist | 3041 | TN |
Y | 103TC0700X | Clinical Psychologist | 3041 | TN |
NPI | 1114356219 |
---|---|
Provider Name | Dr. James Casey |
First Address | Ashland City, TN 37015-5140 |
Second Address | Nashville, TN 37203-1411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2013 |
Last Update Date | 08/11/2013 |