Healthcare Provider Details

I. General information

NPI: 1659477446
Provider Name (Legal Business Name): ALLIED HEALTH PROVIDERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1074 MAIN ST
WEST BARNSTABLE MA
02668-1142
US

IV. Provider business mailing address

1074 MAIN ST
WEST BARNSTABLE MA
02668-1142
US

V. Phone/Fax

Practice location:
  • Phone: 508-362-1180
  • Fax: 508-362-7048
Mailing address:
  • Phone: 508-362-1180
  • Fax: 508-362-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number006666
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number006666
License Number StateMA

VIII. Authorized Official

Name: DR. GEOFFREY N COHEN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 508-362-1180