Provider Demographics
NPI:1942443031
Name:CASON, DANA RILEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:RILEY
Last Name:CASON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 SUMMIT CENTRE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7612
Mailing Address - Country:US
Mailing Address - Phone:803-404-8756
Mailing Address - Fax:803-526-7323
Practice Address - Street 1:140 SUMMIT CENTRE DR
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7612
Practice Address - Country:US
Practice Address - Phone:803-404-8756
Practice Address - Fax:803-526-7323
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC1115103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical