Healthcare Provider Details

I. General information

NPI: 1114546157
Provider Name (Legal Business Name): HANNAH LOGAN COHEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH LOGAN COHEN LMFT

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 WILSHIRE BLVD UNIT 3H
LOS ANGELES CA
90024-4610
US

IV. Provider business mailing address

10450 WILSHIRE BLVD UNIT 3H
LOS ANGELES CA
90024-4610
US

V. Phone/Fax

Practice location:
  • Phone: 818-912-7271
  • Fax:
Mailing address:
  • Phone: 818-912-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: