Healthcare Provider Details

I. General information

NPI: 1992283469
Provider Name (Legal Business Name): JENNIFER HAHN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 PAOLI PIKE
MALVERN PA
19355-3311
US

IV. Provider business mailing address

1310 EGYPT RD UNIT 303
OAKS PA
19456-1315
US

V. Phone/Fax

Practice location:
  • Phone: 484-596-5430
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015155
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: