Organization
CASSERLY & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSEPH CASSERLY PSY.D. (PRESIDENT)
(812) 443-0404
Entity
Organization
Contact information
Practice address
508 E NATIONAL AVE, BRAZIL, IN 47834-2634
(812) 443-0404
(812) 448-9159
Mailing address
508 E NATIONAL AVE, BRAZIL, IN 47834-2634
(812) 443-0404
(812) 448-9159
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040734A
IN
Other
Enumeration date
06/08/2007
Last updated
09/17/2007
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