Individual
MORRIS J. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0267
(706) 721-5238
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8403
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY000925
GA
103T00000X
Psychologist
PSY000925
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY000925
GA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY000925
GA
103TS0200X
School Psychologist
PSY000925
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000269101A
—
GA
Enumeration date
09/06/2006
Last updated
03/31/2011
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