| NPI | 1871099937 |
|---|---|
| Former Legal Business Name | KELLY CRENSHAW, PSYD, PLLC |
| Doing Business As | CASCADE NEUROPSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | KELLY L CRENSHAW Owner 360-588-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-11-18 |