Provider Demographics
NPI:1598806887
Name:CASEMENT, SHAUNA L (PSYD)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:L
Last Name:CASEMENT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 S ONEIDA ST STE 105
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2550
Mailing Address - Country:US
Mailing Address - Phone:303-300-2999
Mailing Address - Fax:303-300-2940
Practice Address - Street 1:2121 S ONEIDA ST STE 105
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2550
Practice Address - Country:US
Practice Address - Phone:303-300-2999
Practice Address - Fax:303-300-2940
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1976103TC0700X, 103TF0200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic