Provider Demographics
NPI:1053046540
Name:FERRI, CASEY LEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:LEE
Last Name:FERRI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 N CENTRAL EXPY # 182
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5125
Mailing Address - Country:US
Mailing Address - Phone:214-363-2345
Mailing Address - Fax:
Practice Address - Street 1:6860 DALLAS PKWY STE 575
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4260
Practice Address - Country:US
Practice Address - Phone:214-363-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39505103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical