Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey T Doherty

Individual provider Peer Specialist · NPI 1417635905

Casey T Doherty is a Peer Specialist in Tarzana, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

18646 Oxnard St Tarzana Ca 91356
Tarzana, CA 91356
Phone: (818) 996-1051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-XZYKQV (CA)

Record details

NPI number1417635905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJune 28, 2023
Mailing address6842 McLennan Ave, Lake Balboa, CA 91406-4529

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