Provider Demographics
NPI:1346865938
Name:CASSANDRA ALPIN
Entity Type:Organization
Organization Name:CASSANDRA ALPIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:509-630-6625
Mailing Address - Street 1:6038 HAZEL PL
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-9507
Mailing Address - Country:US
Mailing Address - Phone:509-630-6625
Mailing Address - Fax:202-942-0410
Practice Address - Street 1:6038 HAZEL PL
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-9507
Practice Address - Country:US
Practice Address - Phone:509-630-6625
Practice Address - Fax:202-942-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2077655Medicaid
WA2078325Medicaid