| NPI | 1154652030 |
|---|---|
| Former Name | CASEY JENNIFER HADDAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9406) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: FL 9406) |
| 103G00000X Clinical Neuropsychologist (Licence: FL 9406) | |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2021-03-18 |