Individual
DR. LISA RENEE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 W 79TH ST, 1E, NEW YORK, NY 10024-6470
(212) 721-1880
Mailing address
124 W 79TH ST, 1E, NEW YORK, NY 10024-6470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014063
NY
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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