Doctor Name: | DR. DIANA GROSSMAN KAHN |
NPI Number: | 1447455548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1296 |
Business Practice Address: | 5 S Main St Suite 305 Oberlin, OH - 440741677 |
Business Phone Number: | 4407744594 |
Business Fax Number: | |
Mailing Address: | 5 S Main St, Suite 305 OBERLIN |
State: | OH |
Postal Code: | 440741677 |
Phone Number: | 4407744594 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |