Provider Demographics
NPI:1811166010
Name:MCCASLAND, TERRELL HOWARD JR (CNIM)
Entity type:Individual
Prefix:MR
First Name:TERRELL
Middle Name:HOWARD
Last Name:MCCASLAND
Suffix:JR
Gender:M
Credentials:CNIM
Other - Prefix:
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Mailing Address - Street 1:1555 S MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2750
Mailing Address - Country:US
Mailing Address - Phone:303-885-5635
Mailing Address - Fax:720-570-2059
Practice Address - Street 1:15047 W 54TH DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-2915
Practice Address - Country:US
Practice Address - Phone:720-308-4567
Practice Address - Fax:303-278-0612
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1270246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic