Doctor Name: | NELLA HAHN |
NPI Number: | 1093985327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 076960 |
Business Practice Address: | 500 Pleasure Dr Riverhead, NY - 119014924 |
Business Phone Number: | 6316038388 |
Business Fax Number: | 6313699819 |
Mailing Address: | 500 Pleasure Dr, RIVERHEAD |
State: | NY |
Postal Code: | 119014924 |
Phone Number: | 6316038388 |
Fax Number: | 6313699819 |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 076960 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |