Provider Demographics
NPI:1285034959
Name:WEINSTEIN, CASEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:
Last Name:WEINSTEIN
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 1:15165 VENTURA BLVD
Mailing Address - Street 2:250
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3373
Mailing Address - Country:US
Mailing Address - Phone:818-646-6176
Mailing Address - Fax:
Practice Address - Street 1:15165 VENTURA BLVD
Practice Address - Street 2:250
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3373
Practice Address - Country:US
Practice Address - Phone:818-646-6176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52373106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist