Provider Demographics
NPI:1801149232
Name:KAHN, LAUREN G (LSW,LMFT)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:G
Last Name:KAHN
Suffix:
Gender:F
Credentials:LSW,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7149 GERMANTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1842
Mailing Address - Country:US
Mailing Address - Phone:215-605-5555
Mailing Address - Fax:
Practice Address - Street 1:7149 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1842
Practice Address - Country:US
Practice Address - Phone:215-605-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000691101YM0800X
PASW009497L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health