MEDICARE: DR. JANET F 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	106H00000X	Marriage & Family Therapist	MT0000283	FL

General Provider Information

NPI Number	:	1659491199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET F COHEN PH,D.

Provider Business Mailing Address
First Line	:	1417 SE 4TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2319
Country	:	US
Telephone Number	:	954-463-2273
Fax Number	:	954-779-1643

Provider Business Practice Location Address
First Line	:	1417 SE 4TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2319
Country	:	US
Telephone Number	:	954-463-2273
Fax Number	:	954-779-1643

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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