Provider Demographics
NPI:1093264319
Name:HAHN, ANGELA NUTT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NUTT
Last Name:HAHN
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 1:145 ROLLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3327
Mailing Address - Country:US
Mailing Address - Phone:706-207-1201
Mailing Address - Fax:
Practice Address - Street 1:159 ONETA ST
Practice Address - Street 2:UNIT 1A SUITE 7
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-3405
Practice Address - Country:US
Practice Address - Phone:706-207-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004004103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical