Provider Demographics
NPI:1750543864
Name:HAHN, CAROLYN J (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:J
Last Name:HAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MASON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6630
Mailing Address - Country:US
Mailing Address - Phone:203-997-7558
Mailing Address - Fax:203-298-7385
Practice Address - Street 1:115 MASON ST STE 1
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6630
Practice Address - Country:US
Practice Address - Phone:203-997-7558
Practice Address - Fax:203-298-7385
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY602539742084P0800X
CT0509122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry