Provider Demographics
NPI:1558936682
Name:JENNIFER HAHM PHD PSYCHOLOGICAL SERVICES PLLC
Entity Type:Organization
Organization Name:JENNIFER HAHM PHD PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-295-2980
Mailing Address - Street 1:33228 W 12 MILE RD STE 224
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3309
Mailing Address - Country:US
Mailing Address - Phone:517-295-2980
Mailing Address - Fax:
Practice Address - Street 1:26811 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4512
Practice Address - Country:US
Practice Address - Phone:517-295-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)