Provider Demographics
NPI:1043386113
Name:KAHN, LINDA N
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:N
Last Name:KAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:KAHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:11 LORRAINE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1910
Mailing Address - Country:US
Mailing Address - Phone:908-277-9595
Mailing Address - Fax:908-277-9595
Practice Address - Street 1:11 LORRAINE RD
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-1910
Practice Address - Country:US
Practice Address - Phone:908-277-9595
Practice Address - Fax:908-277-9595
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCOO299000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health