Casey Randall Haddix in Casselberry - Clinical Neuropsychologist
Casey Randall Haddix - NPI 1134109820
Casey Randall Haddix is a Clinical Neuropsychologist in Casselberry, Florida. Casey Randall Haddix practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Casey Randall Haddix is 1134109820. The last update date is 2007-07-08.
Casey Randall Haddix's current location address is 1211 State Road 436, Casselberry, Florida. You can contact this provider via phone number 4077400007 and fax number 4077408360. The mailing address for Casey Randall Haddix is 1211 State Road 436, Casselberry, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey Randall Haddix |
|---|---|
| Address | 1211 State Road 436, Casselberry, Florida |
| Phone Number | 4077400007 |
| Fax Number | 4077408360 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1134109820 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1211 State Road 436 |
|---|---|
| City | Casselberry |
| State | Florida (FL) |
| Post Code | 327076485 |
| Phone Number | 4077400007 |
| Fax Number | 4077408360 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY7175 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code assigned to Casey Randall Haddix by the Centers for Medicare & Medicaid Services?
The Casey Randall Haddix has been issued the NPI (National Provider Identifier) 1134109820, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Casey Randall Haddix's facilities are geographically located?
The facilities of Casey Randall Haddix are physically situated at the following location: 1211 State Road 436, Casselberry, FL, 327076485.
What is the Casey Randall Haddix's area of specialization and corresponding taxonomy classification?
The Casey Randall Haddix's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
When was the Casey Randall Haddix's 1134109820 issued?
The Casey Randall Haddix's 1134109820 was issued on 2006-01-19.
As of what date was the information regarding Casey Randall Haddix, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Casey Randall Haddix, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.