Provider Demographics
NPI:1548605116
Name:KAY VONNE CASON PSY PLLC
Entity Type:Organization
Organization Name:KAY VONNE CASON PSY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:VONNE
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:734-785-8128
Mailing Address - Street 1:19366 ALLEN RD STE. D
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48183
Mailing Address - Country:US
Mailing Address - Phone:734-785-8128
Mailing Address - Fax:734-785-8138
Practice Address - Street 1:19366 ALLEN RD STE. D
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48183
Practice Address - Country:US
Practice Address - Phone:734-785-8128
Practice Address - Fax:734-785-8138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012399103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty