Healthcare Provider Details

I. General information

NPI: 1144928839
Provider Name (Legal Business Name): CAROLYN DOSS COHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 OXFORD CT
SALINAS CA
93906-2184
US

IV. Provider business mailing address

326 CENTRAL AVE APT 2
SALINAS CA
93901-2051
US

V. Phone/Fax

Practice location:
  • Phone: 831-771-8555
  • Fax:
Mailing address:
  • Phone: 831-224-7757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: