Provider Demographics
NPI:1831596741
Name:KAHN, ANN IRENE (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:IRENE
Last Name:KAHN
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 STACEY LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2706
Mailing Address - Country:US
Mailing Address - Phone:631-944-1514
Mailing Address - Fax:
Practice Address - Street 1:21 STACEY LN
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-2706
Practice Address - Country:US
Practice Address - Phone:631-944-1514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009384235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist