Individual
JOHN WALTON MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Mailing address
3601 W 13 MILE RD, FSC, ROYAL OAK, MI 48073-6712
(248) 423-2454
(248) 423-2576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060F32458
BCBSM
MI
Enumeration date
07/03/2006
Last updated
07/22/2008
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