Provider Demographics
NPI:1073720652
Name:KAHN, GLORIA BATKIN (EDD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:BATKIN
Last Name:KAHN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5324
Mailing Address - Country:US
Mailing Address - Phone:914-997-0501
Mailing Address - Fax:914-683-7397
Practice Address - Street 1:169 WEST ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5324
Practice Address - Country:US
Practice Address - Phone:914-997-0501
Practice Address - Fax:914-478-7658
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005364103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist