Mcdougall, Casey Lee

Mcdougall, Casey Lee is an individual health care provider with primary practice located at Hwy 1 Hospital Drive Box 497, Red Lake MN 56671. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mcdougall, Casey Lee can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
Hwy 1 Hospital Drive Box 497 Red Lake MN 56671
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 5341 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 5341 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP 5341 Minnesota

Profile Details

NPI number 1548563620
LBN Legal business name Mcdougall, Casey Lee
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2010
Last updated Jul 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548563620 NPPES
Minnesota MEDICAID 1508809765
Minnesota Other LP 5341

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