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Individual
DR. LEO COHEN
Active
Individual
DR. LEO COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS000714L
PA
103TA0700X
Adult Development & Aging Psychologist
Primary
PS000714L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS000714L
PA
103TC0700X
Clinical Psychologist
PS000714L
PA
Other
Enumeration date
04/04/2007
Last updated
07/13/2007
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