Provider Demographics
NPI:1063646461
Name:CASEY, MEGHAN BARBARA (MS)
Entity Type:Individual
Prefix:MISS
First Name:MEGHAN
Middle Name:BARBARA
Last Name:CASEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:ISLE OF PALMS
Mailing Address - State:SC
Mailing Address - Zip Code:29451-2139
Mailing Address - Country:US
Mailing Address - Phone:843-259-1070
Mailing Address - Fax:843-723-7446
Practice Address - Street 1:501 PALM BLVD
Practice Address - Street 2:
Practice Address - City:ISLE OF PALMS
Practice Address - State:SC
Practice Address - Zip Code:29451-2139
Practice Address - Country:US
Practice Address - Phone:843-259-1070
Practice Address - Fax:843-723-7446
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst