Provider Demographics
NPI:1114699956
Name:KAHN, ZOE BIANCA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:BIANCA
Last Name:KAHN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KING OF PRUSSIA RD STE 650
Mailing Address - Street 2:PMB # 7
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5156
Mailing Address - Country:US
Mailing Address - Phone:484-254-6595
Mailing Address - Fax:
Practice Address - Street 1:201 KING OF PRUSSIA RD STE 650
Practice Address - Street 2:PMB # 7
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-5156
Practice Address - Country:US
Practice Address - Phone:484-254-6595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012978101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty