Provider Demographics
NPI:1710744719
Name:DEVER, CASEY ANN
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:ANN
Last Name:DEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3954 CONSTANCE RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-2008
Mailing Address - Country:US
Mailing Address - Phone:215-850-2014
Mailing Address - Fax:
Practice Address - Street 1:19 MEADOWOOD DRIVE, LANGHORNE, PA 19047
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-891-8731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor