Individual
DR. SUSAN MARIE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
577 PAMAELE ST, KAILUA, HI 96734-3529
(808) 262-5335
(808) 230-2132
Mailing address
577 PAMAELE ST, KAILUA, HI 96734-3529
(808) 262-5335
(808) 230-2132
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY742
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5366790
—
HI
Enumeration date
03/05/2007
Last updated
07/08/2007
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