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NPI Code Detail

MEDICARE: MONYA JO COHEN PSY.D

MEDICARE:   MONYA JO COHEN  PSY.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
1103TC0700XClinical Psychologist03907MD

General Provider Information

NPI Number : 1912555251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONYA JO COHEN PSY.D
Provider Business Mailing Address
First Line : 2407 PONDSIDE TER
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5752
Country : US
Telephone Number : 202-255-7180
Fax Number :
Provider Business Practice Location Address
First Line : 2407 PONDSIDE TER
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5752
Country : US
Telephone Number : 202-255-7180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 12/11/2024

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Directions to “ MONYA JO COHEN PSY.D” Practice Location

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