Healthcare Provider Details

I. General information

NPI: 1912690264
Provider Name (Legal Business Name): SHAUNA L. CASEMENT, PSY D, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 06/01/2023
Certification Date: 05/24/2023
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 TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SHAUNA LEE CASEMENT
Title or Position: OWNER/PROVIDER
Credential: PSY.D
Phone: 303-300-2999