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General NPI Number Information
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NPI Number | 1548605116
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Entity Type | Organization
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Legal Business Name | KAY VONNE CASON PSY PLLC
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 19366 ALLEN RD STE. D
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City | BROWNSTOWN
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State | MI
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Zip | 48183
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Country | US
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Telephone | 734-785-8128
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Fax | 734-785-8138
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Provider Business Mailing Address
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Address Line | 19366 ALLEN RD STE. D
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City | BROWNSTOWN
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State | MI
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Zip | 48183
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Country | US
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Telephone | 734-785-8128
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Fax | 734-785-8138
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. KAY VONNE CASON
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Credential | PSY.D
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Telephone | 734-785-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301012399
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License Number State | MI
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