MEDICARE: DR. LOUISE GLASSNER COHEN PHARM.D., BCPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist	18125	MA

General Provider Information

NPI Number	:	1083616767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUISE GLASSNER COHEN PHARM.D., BCPP

Provider Business Mailing Address
First Line	:	33 MARTHAS LN
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2673
Country	:	US
Telephone Number	:	617-731-1346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1493 CAMBRIDGE ST
Second Line	:	CAMBRIDGE HEALTH ALLIANCE-MYSTIC CENTER
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-1047
Country	:	US
Telephone Number	:	781-306-8639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/08/2007

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