Provider Demographics
NPI:1366677502
Name:SCHAHN, ANNIKA (PHD)
Entity Type:Individual
Prefix:
First Name:ANNIKA
Middle Name:
Last Name:SCHAHN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4402
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-0934
Mailing Address - Country:US
Mailing Address - Phone:508-560-3206
Mailing Address - Fax:
Practice Address - Street 1:29 CLOUGH LN
Practice Address - Street 2:
Practice Address - City:VINEYARD HAVEN
Practice Address - State:MA
Practice Address - Zip Code:02568-6348
Practice Address - Country:US
Practice Address - Phone:508-560-3206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health