Provider Demographics
NPI:1477045482
Name:MACGREGOR-TOSHIMA, CASEY ROAGAN (PHD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:ROAGAN
Last Name:MACGREGOR-TOSHIMA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 MISSION ST APT 22
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3346
Mailing Address - Country:US
Mailing Address - Phone:917-969-3009
Mailing Address - Fax:
Practice Address - Street 1:1000 FREMONT AVE UNIT D
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-3225
Practice Address - Country:US
Practice Address - Phone:626-657-8543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker