Individual
MR. ROBERT M. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
7215 W ALTA VISTA RD, LAVEEN, AZ 85339-2669
(480) 437-4301
Mailing address
7215 W ALTA VISTA RD, LAVEEN, AZ 85339-2669
(480) 437-4301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896079
AHCCCS ID
AZ
Enumeration date
02/15/2007
Last updated
07/26/2007
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