MEDICARE: CASIE JAMESON PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810008374	VA

General Provider Information

NPI Number	:	1952022626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASIE JAMESON PSYD

Provider Business Mailing Address
First Line	:	3D MEDICAL BATTALION
Second Line	:	OPC 557 BOX 57
City	:	FPO
State	:	AP
Zip	:	96371-9001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	OPC 557 BOX 57
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96371-9001
Country	:	US
Telephone Number	:	315-645-9564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	06/14/2026

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