# FAMILY LIFE PSYCHOLOGICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Herbert S Cohen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164594065
- **Authorized official:** DR. HERBERT S COHEN EDD (PRESIDENT)
- **Authorized official phone:** (203) 968-0469

## Contact information

- **Practice address:** 106 GUN CLUB ROAD, STAMFORD, CT 06903-1024
- **Practice address phone:** (203) 968-0469
- **Mailing address:** 106 GUN CLUB ROAD, STAMFORD, CT 06903-1024
- **Mailing address phone:** (203) 968-0469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 000918 | CT | — |
| 106H00000X | Marriage & Family Therapist | 00145 | CT | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 060000918CT01 | ANTHEM BLUE CROSS BLUE SH | CT |