Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CASEY LEE MCDOUGALL, PH.D., L.P.
ActiveDR. CASEY LEE MCDOUGALL, PH.D., L.P. is a Clinical Psychologist healthcare provider located in RED LAKE, Minnesota. NPI 1548563620 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · RED LAKE, MN
Registration Details
- NPI Number
- 1548563620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2010 (15.710031512976 yrs)
- Last Updated
- Jul 11, 2012
- Licenses
-
LP 5341 (MN)LP 5341 (MN)LP 5341 (MN)
Practice Information
- Address
-
HWY 1 HOSPITAL DRIVEBOX 497RED LAKE, MN, 56671Browse MN providers · Browse ZIP 56671
- Phone
- 2186793912
- Fax
- 2186790181
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
- Additional Specialty
- Child, Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.