Provider Demographics
NPI:1770817827
Name:KASKEL, HOLLEY FERRELL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HOLLEY
Middle Name:FERRELL
Last Name:KASKEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:HOLLEY
Other - Middle Name:ELIZABETH
Other - Last Name:FERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:7902 168TH AVE NE STE 101
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4445
Mailing Address - Country:US
Mailing Address - Phone:425-996-8592
Mailing Address - Fax:425-968-5619
Practice Address - Street 1:7902 168TH AVE NE STE 101
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4445
Practice Address - Country:US
Practice Address - Phone:425-996-8592
Practice Address - Fax:425-968-5619
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18951103TC0700X
WAPY60079992103TC0700X
WAPY 60079992103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical