| Cascade Psychological Services, Lcc | |
|
19800 Village Office Ct Ste 205 Bend OR 97702-1813 | |
| (541) 508-7746 | |
| Not Available |
| Full Name | Cascade Psychological Services, Lcc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 19800 Village Office Ct Ste 205, Bend, Oregon |
| Authorized Official Name and Position | Michelle Louise Shawver (OWNER) |
| Authorized Official Contact | 5415087746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Psychological Services, Lcc 19800 Village Office Ct Ste 205 Bend OR 97702-1813 Ph: (541) 508-7746 | Cascade Psychological Services, Lcc 19800 Village Office Ct Ste 205 Bend OR 97702-1813 Ph: (541) 508-7746 |
| NPI Number | 1942803713 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942803713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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