Healthcare Provider Details

I. General information

NPI: 1598806887
Provider Name (Legal Business Name): SHAUNA L. CASEMENT PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 105
DENVER CO
80224-2550
US

IV. Provider business mailing address

2121 S ONEIDA ST STE 105
DENVER CO
80224-2550
US

V. Phone/Fax

Practice location:
  • Phone: 303-300-2999
  • Fax: 303-300-2940
Mailing address:
  • Phone: 303-300-2999
  • Fax: 303-300-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1976
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number1976
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number1976
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: