Provider Demographics
NPI:1376426445
Name:CASASNOVAS, DAISY (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAISY
Middle Name:
Last Name:CASASNOVAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6193 DECKER DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-1400
Mailing Address - Country:US
Mailing Address - Phone:734-635-3026
Mailing Address - Fax:
Practice Address - Street 1:219 W COLORADO AVE STE 212
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3338
Practice Address - Country:US
Practice Address - Phone:719-445-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC.00015294103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical