NPI 1104870955 · live from the CMS NPI Registry
Mark N Casdorph, D.O.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Troy, OH. National Provider Identifier 1104870955, active.
NPI record
| NPI | 1104870955 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X |
| Practice location | 3130 N County Road 25a, Troy, OH 45373 |
| Practice phone | 937-440-7305 |
| Mailing address | 3170 Kettering Blvd Bldg B3, Moraine, OH 45439 |
| Enumerated | May 19, 2006 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | 2084P0800X | 1322 (WV) |
| Psychiatry & Neurology, Child & Adolescent Psychiatry primary | 2084P0804X | 34.007158 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.