Organization
JOHN W. MCCASKILL, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WALTON MCCASKILL IV PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(734) 416-9098
Entity
Organization
Contact information
Practice address
409 PLYMOUTH RD STE 250, PLYMOUTH, MI 48170-1842
(734) 416-9098
(734) 416-0158
Mailing address
409 PLYMOUTH RD STE 250, PLYMOUTH, MI 48170-1842
(734) 416-9098
(734) 416-0158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801825542
NPPES
MI
01
—
6301012562
BOARD OF PSYCHOLOGY
MI
Enumeration date
05/27/2010
Last updated
05/29/2010
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