Provider Demographics
NPI:1073806469
Name:KAHAN, ELANA MELISSA (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ELANA
Middle Name:MELISSA
Last Name:KAHAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:148-20 REEVES AVENUE
Mailing Address - Street 2:P993Q @ PS/IS 499
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-5914
Mailing Address - Country:US
Mailing Address - Phone:718-461-7705
Mailing Address - Fax:
Practice Address - Street 1:148-20 REEVES AVENUE
Practice Address - Street 2:P993Q @ PS/IS 499
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367
Practice Address - Country:US
Practice Address - Phone:718-461-7705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019156235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist