Provider Demographics
NPI:1730620758
Name:FUHRMAN, KAYDEN (MFT)
Entity type:Individual
Prefix:
First Name:KAYDEN
Middle Name:
Last Name:FUHRMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:DENI
Other - Middle Name:
Other - Last Name:FUHRMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:3142 VIEW RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5949
Mailing Address - Country:US
Mailing Address - Phone:608-630-4725
Mailing Address - Fax:
Practice Address - Street 1:3142 VIEW RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-5949
Practice Address - Country:US
Practice Address - Phone:608-630-4725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI581758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist