Provider Demographics
NPI:1902044514
Name:KENNETH N. ASHER, PH.D., P.S.
Entity Type:Organization
Organization Name:KENNETH N. ASHER, PH.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:ASHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-322-4552
Mailing Address - Street 1:620 15TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4524
Mailing Address - Country:US
Mailing Address - Phone:206-322-4552
Mailing Address - Fax:206-328-7944
Practice Address - Street 1:620 15TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4524
Practice Address - Country:US
Practice Address - Phone:206-322-4552
Practice Address - Fax:206-328-7944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1220261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health