Provider Demographics
NPI:1023767043
Name:CHRISTINE CASELLES PHD LTD
Entity type:Organization
Organization Name:CHRISTINE CASELLES PHD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASELLES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-241-0426
Mailing Address - Street 1:4300 MONTGOMERY AVE # 104
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4412
Mailing Address - Country:US
Mailing Address - Phone:301-246-0421
Mailing Address - Fax:
Practice Address - Street 1:4300 MONTGOMERY AVE # 104
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4412
Practice Address - Country:US
Practice Address - Phone:301-241-0426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty