Healthcare Provider Details

I. General information

NPI: 1477821551
Provider Name (Legal Business Name): CASSANDRA MARIE DOWELL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS CASSANDRA MARIE CAMPBELL

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 05/14/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

803 N CAMBRIA ST
ANAHEIM CA
92801-3219
US

V. Phone/Fax

Practice location:
  • Phone: 714-624-7403
  • Fax:
Mailing address:
  • Phone: 714-624-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number639
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: