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NPI Code Detail

MEDICARE: VERONICA SARAH COHEN M.A

MEDICARE: VERONICA SARAH COHEN M.A
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
1106H00000XMarriage & Family TherapistIMF51349CA
2106H00000XMarriage & Family TherapistLMFT 50511CA

General Provider Information

NPI Number : 1710001375
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA SARAH COHEN M.A
Provider Business Mailing Address
First Line : 12624 ROSE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1551
Country : US
Telephone Number : 310-895-8471
Fax Number :
Provider Business Practice Location Address
First Line : 3910 OAKWOOD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3413
Country : US
Telephone Number : 323-953-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/13/2016

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Directions to “ VERONICA SARAH COHEN M.A” Practice Location

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