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Individual

DR. TAMMY ELLEN COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,DNP, NP, PMHNP

Contact information

Practice address
184 LIBERTY ST, NEW HAVEN, CT 06519
(203) 688-1936
Mailing address
22 GOLD ST APT 402, NEW HAVEN, CT 06519-1646
(917) 903-5133

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8418
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F400702-1
NY

Other

Enumeration date
05/12/2009
Last updated
09/23/2019
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