Healthcare Provider Details

I. General information

NPI: 1902044514
Provider Name (Legal Business Name): KENNETH N. ASHER, PH.D., P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 15TH AVE E
SEATTLE WA
98112-4524
US

IV. Provider business mailing address

620 15TH AVE E
SEATTLE WA
98112-4524
US

V. Phone/Fax

Practice location:
  • Phone: 206-322-4552
  • Fax: 206-328-7944
Mailing address:
  • Phone: 206-322-4552
  • Fax: 206-328-7944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number1220
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number1220
License Number StateWA

VIII. Authorized Official

Name: DR. KENNETH NATHAN ASHER
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 206-322-4552