Individual
LEE MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
1950 ASPEN, LUBBOCK, TX 79404
(806) 766-0310
(806) 744-9580
Mailing address
1602 10TH ST, LUBBOCK, TX 79401-2607
(806) 766-0310
(806) 744-9580
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31730
LICENSE
TX
Enumeration date
06/04/2007
Last updated
07/08/2007
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