Casey Wake is a Clinical in Ventura, California. Casey Wake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Casey Wake is 1932364007. The last update date is 2017-12-20.
Casey Wake's current location address is 5810 Ralston St, Ventura, California. You can contact this provider via phone number 8057967637. The mailing address for Casey Wake is 5810 Ralston St, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Casey Wake |
|---|---|
| Address | 5810 Ralston St, Ventura, California |
| Phone Number | 8057967637 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1932364007 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2017-12-20 |
Provider Mailing Address Detail
| Address | 5810 Ralston St |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930035908 |
| Phone Number | 8057967637 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY28390 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7420 | CA | -- | |
| 7068 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Casey Wake by the Centers for Medicare & Medicaid Services?
The Casey Wake has been assigned the NPI (National Provider Identifier) 1932364007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Casey Wake located?
The Casey Wake is located at 5810 Ralston St, Ventura, CA 930035908.
What is Casey Wake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Casey Wake is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932364007 to Casey Wake?
The Casey Wake received its 1932364007 assignment from the Centers for Medicare & Medicaid Services on 2008-07-28.
As of what date was the information regarding Casey Wake, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Casey Wake, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-20.
Address: Po Box 2333, Clay, NY
Address: 850 N Harrison St, Warsaw, IN
Address: 1143 Deer Trail Ln, Solvang, CA
Address: 7840 Oracle Pl, Potomac, MD
Address: Po Box 1289, Tampa, FL
Address: 727 N Waco Ave, Wichita, KS
Address: 1115 Elkton Dr, Colorado Springs, CO
Address: 501 S Washington St, Swayzee, IN
Address: 1709 Colley Ave, Norfolk, VA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 54045 Ridge Rd, Yucca Valley, CA
Address: 7600 Osler Dr, Towson, MD
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 41 Park Ave, New York, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN