| Dr. David Hahn Psychologist Pc | |
|
1252 Broadway Suite I El Cajon CA 92021-4901 | |
| (619) 917-2569 | |
| (866) 273-2035 |
| Full Name | Dr. David Hahn Psychologist Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1252 Broadway, El Cajon, California |
| Authorized Official Name and Position | David Tracy Hahn (OWNER) |
| Authorized Official Contact | 6199172569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. David Hahn Psychologist Pc 1252 Broadway Suite I El Cajon CA 92021-4901 Ph: (619) 917-2569 | Dr. David Hahn Psychologist Pc 1252 Broadway Suite I El Cajon CA 92021-4901 Ph: (619) 917-2569 |
| NPI Number | 1104161439 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Medicare PECOS PAC ID | 3173847670 |
|---|---|
| Medicare Enrollment ID | O20150109000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104161439 | NPI | - | NPPES |
| 7572336 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY19168 (California) | Primary |
| Provider Name | David T Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881658235 PECOS PAC ID: 3476511320 Enrollment ID: I20100520001050 |
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