Provider Demographics
NPI:1538405329
Name:CADY, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82609-3552
Mailing Address - Country:US
Mailing Address - Phone:307-277-8623
Mailing Address - Fax:307-266-2032
Practice Address - Street 1:3440 E 19TH ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-3552
Practice Address - Country:US
Practice Address - Phone:307-277-8623
Practice Address - Fax:307-266-2032
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-24
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator