Individual
DR. CASEY ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
21633 AVENUE 24, CHOWCHILLA, CA 93610-9650
(559) 665-6100
Mailing address
21633 AVENUE 24, CHOWCHILLA, CA 93610-9650
(559) 665-6100
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY29850
CA
103G00000X
Clinical Neuropsychologist
—
CA
103T00000X
Psychologist
Primary
PSY29850
CA
103T00000X
Psychologist
—
CA
103TF0200X
Forensic Psychologist
PSY29850
CA
103TF0200X
Forensic Psychologist
—
CA
Other
Enumeration date
07/06/2017
Last updated
12/21/2022
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