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NPI Code Detail

MEDICARE: DR. MATTHEW A COHEN PH.D.

MEDICARE: DR. MATTHEW A COHEN PH.D.
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
11041C0700XClinical Social Worker107960IA

General Provider Information

NPI Number : 1619542321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW A COHEN PH.D.
Provider Business Mailing Address
First Line : 123 N LINN ST STE 2D
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 319-512-9506
Fax Number :
Provider Business Practice Location Address
First Line : 123 N LINN ST STE 2D
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2147
Country : US
Telephone Number : 319-512-9506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2021
Last Update Date : 05/25/2021

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