Provider Demographics
NPI:1619685005
Name:CASEBEER, ELIZABETH C (MS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:CASEBEER
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 1:320 FERNLEAF DR
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-2126
Mailing Address - Country:US
Mailing Address - Phone:765-268-0183
Mailing Address - Fax:765-374-2752
Practice Address - Street 1:1234 ROSSVILLE AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-1059
Practice Address - Country:US
Practice Address - Phone:765-242-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health