Provider Demographics
NPI:1013360007
Name:CENTER FOR THE PSYCHOLOGY OF WOMEN
Entity Type:Organization
Organization Name:CENTER FOR THE PSYCHOLOGY OF WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:323-491-7737
Mailing Address - Street 1:2623 ORLEANS ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-4660
Mailing Address - Country:US
Mailing Address - Phone:323-491-7737
Mailing Address - Fax:
Practice Address - Street 1:2623 ORLEANS ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4660
Practice Address - Country:US
Practice Address - Phone:323-491-7737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60368007251S00000X
CALMFT44907251S00000X
ORT0962251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health