Provider Demographics
NPI:1699043273
Name:TIMOTHY S. CAHN PHD, INC.
Entity Type:Organization
Organization Name:TIMOTHY S. CAHN PHD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-624-1856
Mailing Address - Street 1:901 BOREN AVE STE 1010
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3506
Mailing Address - Country:US
Mailing Address - Phone:206-624-1856
Mailing Address - Fax:206-625-9475
Practice Address - Street 1:901 BOREN AVE STE 1010
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3506
Practice Address - Country:US
Practice Address - Phone:206-624-1856
Practice Address - Fax:206-625-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1315103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG000120432OtherPTAN