Individual
LAURA HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14445 87TH AVE, JAMAICA, NY 11435-3109
(718) 480-4000
Mailing address
303 MERRICK RD, SUITE 204, LYNBROOK, NY 11563-2501
(800) 725-6280
(800) 725-6380
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011788-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02054364
—
NY
Enumeration date
06/22/2006
Last updated
10/12/2011
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