MEDICARE: DEBORAH A. CAHN-WEINER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist	PSY15152	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376653659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A. CAHN-WEINER PH.D.

Provider Business Mailing Address
First Line	:	35 AVENIDA DE ORINDA
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-2305
Country	:	US
Telephone Number	:	925-588-8906
Fax Number	:	925-265-9794

Provider Business Practice Location Address
First Line	:	35 AVENIDA DE ORINDA
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-2305
Country	:	US
Telephone Number	:	925-588-8906
Fax Number	:	925-265-9794

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/02/2021

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