Healthcare Provider Details

I. General information

NPI: 1992441984
Provider Name (Legal Business Name): NANCY G KAHN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 05/11/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 BOARDMAN ST
SHEFFIELD MA
01257-9519
US

IV. Provider business mailing address

1420 BOARDMAN ST
SHEFFIELD MA
01257-9519
US

V. Phone/Fax

Practice location:
  • Phone: 860-306-5027
  • Fax:
Mailing address:
  • Phone: 860-306-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NANCY KAHN
Title or Position: PRESIDENT
Credential:
Phone: 860-306-5027