Individual
DR. CARLA S COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1380 112TH AVE NE, STE 101, BELLEVUE, WA 98004-3759
(425) 814-1400
(425) 820-2681
Mailing address
1380 112TH AVE NE, STE 101, BELLEVUE, WA 98004-3759
(425) 814-1400
(425) 820-2681
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002292
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5404380
AETNA US HEALTHCARE ID#
—
01
—
CO2753
REGENCE PIN #
—
Enumeration date
11/14/2006
Last updated
03/20/2017
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