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Individual

DR. RICHARD HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3939 W RIDGE RD, A111, ERIE, PA 16506-1879
(814) 451-2345
(814) 451-2348
Mailing address
1330 W 26TH ST FL 2, ERIE, PA 16508-1402
(814) 451-2345
(814) 451-2348

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004038L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
571168674
TAX ID
PA
01
HA574653
MEDICARE ID
PA
Enumeration date
07/28/2006
Last updated
07/14/2010
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