Pederson, Casey Anne
Pederson, Casey Anne is an individual health care provider with primary practice located at 1002 Wishard Blvd Ste 4110 , Indianapolis IN 46202-4164. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Pederson, Casey Anne can be contacted via phone (317) 944-8162.Contact Information
Primary practice address
1002 Wishard Blvd Ste 4110
Indianapolis IN 46202-4164
Phone: (317) 944-8162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 20043584A | Indiana |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2808 | Kansas |
Profile Details
| NPI number | 1881103067 |
|---|---|
| LBN Legal business name | Pederson, Casey Anne |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2017 |
| Last updated | Aug 31st, 2022 - about 4 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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