Individual
DR. KASEY NICOLE GRASS
Active
Individual
DR. KASEY NICOLE GRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60618364
WA
103TC0700X
Clinical Psychologist
2011019654
MO
103TC0700X
Clinical Psychologist
Primary
PY60618364
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073805909
—
WA
01
—
P01604086
RR PTAN WVH
WA
Enumeration date
05/11/2011
Last updated
06/21/2022
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