Provider Demographics
NPI:1659416899
Name:KAHN & COOPER- KAHN CHARTERED
Entity Type:Organization
Organization Name:KAHN & COOPER- KAHN CHARTERED
Other - Org Name:PSYCHOLOGICAL RESOURCE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-647-8840
Mailing Address - Street 1:479 JUMPERS HOLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-1600
Mailing Address - Country:US
Mailing Address - Phone:410-647-8840
Mailing Address - Fax:410-647-1405
Practice Address - Street 1:479 JUMPERS HOLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-1600
Practice Address - Country:US
Practice Address - Phone:410-647-8840
Practice Address - Fax:410-647-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKP87Medicare PIN