Provider Demographics
NPI:1376787978
Name:DEAKIN, ELISABETH KUHN (PHD,LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:KUHN
Last Name:DEAKIN
Suffix:
Gender:F
Credentials:PHD,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 W ENID DR
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-2006
Mailing Address - Country:US
Mailing Address - Phone:305-365-2026
Mailing Address - Fax:
Practice Address - Street 1:9380 SUNSET DR STE 120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3276
Practice Address - Country:US
Practice Address - Phone:305-274-3172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9777101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health