Individual
ELISE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 WILLARD ST, QUINCY, MA 02169-7482
(703) 615-0212
Mailing address
21050 41ST AVE APT 5C, BAYSIDE, NY 11361-1916
(703) 615-0212
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
06/11/2019
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