Provider Demographics
NPI:1699213264
Name:ALPIN, CASSANDRA (PHD)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:ALPIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:509-306-0119
Mailing Address - Fax:509-241-1832
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:509-306-0119
Practice Address - Fax:202-942-0410
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60711473103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2078325Medicaid