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General NPI Number Information
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NPI Number | 1164938056
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Entity Type | Organization
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Legal Business Name | THE CASEY GROUP FOR PSYCHOLOGICAL SERVICES LLC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 601 EWING ST STE C12
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City | PRINCETON
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State | NJ
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Zip | 08540-2759
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Country | US
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Telephone | 609-250-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 601 EWING ST STE C12
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City | PRINCETON
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State | NJ
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Zip | 08540-2759
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Country | US
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Telephone | 609-250-2587
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRICIA LEIGH CASEY
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Credential | PSYD
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Telephone | 609-250-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00512400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 35S100512400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 35S100512400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 751645
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35S100512400
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 35S100512400
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 081572
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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