Provider Demographics
NPI:1568994101
Name:KUHN, TAYLOR (PHD)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:KUHN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MIDVALE AVE
Mailing Address - Street 2:APT 401
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5498
Mailing Address - Country:US
Mailing Address - Phone:321-698-1832
Mailing Address - Fax:
Practice Address - Street 1:1400 MIDVALE AVE
Practice Address - Street 2:APT 401
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5498
Practice Address - Country:US
Practice Address - Phone:321-698-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28970103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist