Provider Demographics
NPI:1972726941
Name:CAHN, SUSAN L (MA LMFT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:CAHN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 W 86TH ST
Mailing Address - Street 2:#E7
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260
Mailing Address - Country:US
Mailing Address - Phone:317-257-7717
Mailing Address - Fax:317-577-0010
Practice Address - Street 1:1261 W 86TH ST
Practice Address - Street 2:SUITE #E7
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2282
Practice Address - Country:US
Practice Address - Phone:317-257-7717
Practice Address - Fax:317-577-0010
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35000145A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist