Provider Demographics
NPI:1902493489
Name:KAHN, DOSSIE FINLEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DOSSIE
Middle Name:FINLEY
Last Name:KAHN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1534
Mailing Address - Country:US
Mailing Address - Phone:617-549-5550
Mailing Address - Fax:
Practice Address - Street 1:41 COCHITUATE RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-2614
Practice Address - Country:US
Practice Address - Phone:508-358-4293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7377103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist