Healthcare Provider Details

I. General information

NPI: 1912120429
Provider Name (Legal Business Name): STACEY CAHN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 WITHERSPOON ST
PRINCETON NJ
08540-3211
US

IV. Provider business mailing address

211 W MOUNT VERNON AVE
HADDONFIELD NJ
08033-2521
US

V. Phone/Fax

Practice location:
  • Phone: 609-497-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS016046
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number061-A302
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: