Individual
DR. MICHAEL L KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
289 INDEPENDENCE BLVD, SUITE 221, VIRGINIA BEACH, VA 23462-5493
(757) 498-9320
(757) 498-9321
Mailing address
289 INDEPENDENCE BLVD, SUITE 221, VIRGINIA BEACH, VA 23462-5493
(757) 498-9320
(757) 498-9321
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221030
ANTHEM PROVIDER #
VA
01
—
376943
MHN/TRICARE PROVIDER #
VA
Enumeration date
09/28/2006
Last updated
07/09/2007
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