Healthcare Provider Details

I. General information

NPI: 1407268782
Provider Name (Legal Business Name): CEDARS PSYCHOLOGY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S DIAMOND ST
CENTRALIA WA
98531-3817
US

IV. Provider business mailing address

625 S DIAMOND ST
CENTRALIA WA
98531-3817
US

V. Phone/Fax

Practice location:
  • Phone: 541-556-2084
  • Fax:
Mailing address:
  • Phone: 360-836-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY60448678
License Number StateWA

VIII. Authorized Official

Name: DR. ROSEMARIE R DOWNEY-MCCARTHY
Title or Position: LICENSED PSYCHOLOGIST, OWNER
Credential: PH.D.
Phone: 360-836-0493