Provider Demographics
NPI:1609931989
Name:CASEY FISCHER AND ASSOCIATES LLP
Entity Type:Organization
Organization Name:CASEY FISCHER AND ASSOCIATES LLP
Other - Org Name:LLP
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LP
Authorized Official - Phone:507-650-4127
Mailing Address - Street 1:301 SOUTH DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057
Mailing Address - Country:US
Mailing Address - Phone:507-650-4127
Mailing Address - Fax:507-650-9261
Practice Address - Street 1:301 SOUTH DIVISION ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057
Practice Address - Country:US
Practice Address - Phone:507-650-4127
Practice Address - Fax:507-650-9261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1411674742Medicaid
MN60G04CAOtherBCBS
MN99099OtherPREFERRED ONE
MN1411674742Medicaid