Individual
DR. JENINE MAXIDA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4900 WYALUSING AVE, PHILADELPHIA, PA 19131-5127
(215) 473-7033
Mailing address
4900 WYALUSING AVE, PHILADELPHIA, PA 19131-5127
(215) 473-7033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016463
PA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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