Healthcare Provider Details

I. General information

NPI: 1124702824
Provider Name (Legal Business Name): EMMA CASEY MSC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 THE ORCHARD, CHERRYFIELD AVE UPPER,
RANELAGH DUBLIN
D06 K4W2
IE

IV. Provider business mailing address

11 THE ORCHARD, CHERRYFIELD AVE UPPER,
RANELAGH DUBLIN
D06 K4W2
IE

V. Phone/Fax

Practice location:
  • Phone: 85-164-3902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: