MEDICARE: DR. JULIA CADE OWEN-SHOAL PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY-PSY-LIC-5566	MT
2	103TC0700X	Clinical Psychologist	PY7868	FL

General Provider Information

NPI Number	:	1568677276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA CADE OWEN-SHOAL PSY.D.

Provider Business Mailing Address
First Line	:	2130 9TH ST W # 118
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4416
Country	:	US
Telephone Number	:	406-298-9252
Fax Number	:

Provider Business Practice Location Address
First Line	:	2130 9TH ST W # 118
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912-4416
Country	:	US
Telephone Number	:	406-298-9252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	04/03/2025

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