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General NPI Number Information
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NPI Number | 1992592596
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Entity Type | Organization
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Legal Business Name | DR. COHEN PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 4790 IRVINE BLVD STE 5584790
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City | IRVINE
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State | CA
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Zip | 92620-1973
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Country | US
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Telephone | 949-414-8569
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Fax | 949-414-8569
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Provider Business Mailing Address
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Address Line | 4790 IRVINE BLVD STE 105-558
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City | IRVINE
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State | CA
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Zip | 92620-1973
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Country | US
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Telephone | 949-414-8569
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | GALYA COHEN
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Credential | PSYD
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Telephone | 949-414-8569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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