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NPI Code Detail

MEDICARE: CATHERINE COHEN PSY.D.

MEDICARE: CATHERINE 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
1103T00000XPsychologist16313CA

General Provider Information

NPI Number : 1942501614
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE COHEN PSY.D.
Provider Business Mailing Address
First Line : 3010 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4420
Country : US
Telephone Number : 916-444-8834
Fax Number : 916-447-1540
Provider Business Practice Location Address
First Line : 3010 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4420
Country : US
Telephone Number : 916-444-8834
Fax Number : 916-447-1540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2010
Last Update Date : 11/10/2010

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