Healthcare Provider Details

I. General information

NPI: 1275023871
Provider Name (Legal Business Name): MICHELLE KUHN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 SAND POINT WAY NE
SEATTLE WA
98105-2147
US

IV. Provider business mailing address

5801 SAND POINT WAY NE
SEATTLE WA
98105-2147
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone: 206-987-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY61011113
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY61011113
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: