MEDICARE: DR. ALLAN YALE COHEN PH.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
1	103T00000X	Psychologist		DC

General Provider Information

NPI Number	:	1265645592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN YALE COHEN PH.D.

Provider Business Mailing Address
First Line	:	1616 MANCHESTER LN NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-2810
Country	:	US
Telephone Number	:	202-291-6852
Fax Number	:	202-882-3078

Provider Business Practice Location Address
First Line	:	1616 MANCHESTER LN NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-2810
Country	:	US
Telephone Number	:	202-291-6852
Fax Number	:	202-882-3078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. ALLAN YALE COHEN PH.D.” Practice Location

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