Healthcare Provider Details
I. General information
NPI: 1942526900
Provider Name (Legal Business Name): ELIZABETH RACHEL COHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/15/2010
Last Update Date: 06/28/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18 N FORGE ST
AKRON OH
44304-1317
US
IV. Provider business mailing address
18 N FORGE ST
AKRON OH
44304-1317
US
V. Phone/Fax
- Phone: 330-384-2855
- Fax:
- Phone: 303-842-8553
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 098664 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 35.098664 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: