Individual
LISA HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
1530 NICHOLS RD, KALAMAZOO, MI 49006-2065
(269) 343-6700
(616) 455-5960
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361002474
MI
103TC1900X
Counseling Psychologist
6361002474
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6361002474
—
Other
Enumeration date
08/17/2017
Last updated
04/15/2024
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