Individual
AMY PAIGE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
505 E GREEN ST, URBANA, IL 61802-3405
(217) 265-6937
Mailing address
505 E GREEN ST, URBANA, IL 61802-3405
(217) 265-6937
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982845517
—
IL
Enumeration date
06/04/2014
Last updated
01/20/2017
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