Provider Demographics
NPI:1053909697
Name:HAHN, SARAH B
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:HAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 S BEECH ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:OH
Mailing Address - Zip Code:43506-1602
Mailing Address - Country:US
Mailing Address - Phone:419-633-3333
Mailing Address - Fax:419-754-2255
Practice Address - Street 1:113 S BEECH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-1602
Practice Address - Country:US
Practice Address - Phone:419-633-3333
Practice Address - Fax:419-754-2255
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1201527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker