Provider Demographics
NPI:1225530496
Name:HAHN, LINDA SUSAN X
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUSAN
Last Name:HAHN
Suffix:X
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4808
Mailing Address - Country:US
Mailing Address - Phone:941-492-9622
Mailing Address - Fax:941-493-9659
Practice Address - Street 1:701 CENTER RD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-4808
Practice Address - Country:US
Practice Address - Phone:941-492-9622
Practice Address - Fax:941-493-9659
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator