=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023186608
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MIRIAM GALPER COHEN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2006
-----------------------------------------------------
Last Update Date | 02/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MEDICAL TOWER SUITE 1509 255 SOUTH 17TH STREET
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19103-6231
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-884-8235
-----------------------------------------------------
Fax | 215-884-4915
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 61 CHELFIELD RD
-----------------------------------------------------
City | GLENSIDE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19038-1401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-884-8235
-----------------------------------------------------
Fax | 215-884-4915
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | CW-000704-L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------