Individual
DR. ROGER F COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2045 KEOTA LN, SUPERIOR, CO 80027-8118
(617) 901-3764
(844) 224-2894
Mailing address
2045 KEOTA LN, SUPERIOR, CO 80027-8118
(617) 901-3764
(844) 224-2894
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517119
—
MA
Enumeration date
08/11/2005
Last updated
03/21/2024
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