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NPI Code Detail

MEDICARE: MRS. FERN A COHEN CCC-SLP#0348

MEDICARE: MRS. FERN A COHEN CCC-SLP#0348
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
1235Z00000XSpeech-Language PathologistVA

General Provider Information

NPI Number : 1619264876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FERN A COHEN CCC-SLP#0348
Provider Business Mailing Address
First Line : 11802 EDINBOROUGH SQ
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3413
Country : US
Telephone Number : 804-308-1238
Fax Number :
Provider Business Practice Location Address
First Line : 2027 LAUDERDALE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23238-3940
Country : US
Telephone Number : 804-421-5250
Fax Number : 804-421-5251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 07/07/2011

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Directions to “ MRS. FERN A COHEN CCC-SLP#0348” Practice Location

Language Start Address Practice Location
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