Individual
DR. TARA ELIZABETH CASADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(143) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
37890
TX
Other
Enumeration date
05/22/2013
Last updated
03/18/2024
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