Provider Demographics
NPI:1770355521
Name:DORMAN, CASEY HANNA
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:HANNA
Last Name:DORMAN
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 1:8332 ERICKSON BLVD APT 14105
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80129-7018
Mailing Address - Country:US
Mailing Address - Phone:720-601-8867
Mailing Address - Fax:
Practice Address - Street 1:8332 ERICKSON BLVD APT 14105
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80129-7018
Practice Address - Country:US
Practice Address - Phone:720-601-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61500499106H00000X
COMFTC.0014485106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist