Organization
CASCADE PSYCHOLOGICAL SERVICES, LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LOUISE SHAWVER PSY.D. (OWNER)
(541) 508-7746
Entity
Organization
Contact information
Practice address
19800 VILLAGE OFFICE CT STE 205, BEND, OR 97702-1813
(541) 508-7746
Mailing address
19800 VILLAGE OFFICE CT STE 205, BEND, OR 97702-1813
(541) 508-7746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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