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NPI Code Detail

MEDICARE: DR. NEAL A COHEN PSY.D.

MEDICARE: DR. NEAL A COHEN PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY002847GA

General Provider Information

NPI Number : 1043218993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEAL A COHEN PSY.D.
Provider Business Mailing Address
First Line : 300 COLONIAL CENTER PKWY
Second Line : SUITE 100
City : ROSWELL
State : GA
Zip : 30076-4899
Country : US
Telephone Number : 678-353-3277
Fax Number : 678-353-3211
Provider Business Practice Location Address
First Line : 300 COLONIAL CENTER PKWY
Second Line : SUITE 100
City : ROSWELL
State : GA
Zip : 30076-4899
Country : US
Telephone Number : 678-353-3277
Fax Number : 678-353-3211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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