Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 26689 | CA |
Y | 103TC0700X | Clinical Psychologist | 26689 | CA |
N | 102L00000X | Psychologist | 26689 | CA |
N | 103T00000X | Psychologist | 26689 | CA |
N | 103TA0700X | Adult Development & Aging Psychologist | 26689 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 26689 | CA |
N | 103TC1900X | Counseling Psychologist | 26689 | CA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 26689 | CA |
NPI | 1285099424 |
---|---|
Provider Name | Dr. Rachel Casas |
First Address | Ventura, CA 93001-3649 |
Second Address | Ventura, CA 93001-3649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2015 |
Last Update Date | 01/07/2021 |