Provider Demographics
NPI:1477546067
Name:GAHN, JAMES N (MA, FAAA, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:N
Last Name:GAHN
Suffix:
Gender:M
Credentials:MA, FAAA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 FAR HORIZONS DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1045
Mailing Address - Country:US
Mailing Address - Phone:845-561-6376
Mailing Address - Fax:
Practice Address - Street 1:55 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1516
Practice Address - Country:US
Practice Address - Phone:845-876-3094
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112231H00000X
CT66231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist