Individual
DR. MARTIN DAVID COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12108 N 56TH ST, SUITE F, TAMPA, FL 33617-1686
(813) 988-6557
(813) 899-2023
Mailing address
12108 N 56TH ST, SUITE F, TAMPA, FL 33617-1686
(813) 988-6557
(813) 899-2023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11530787
CAQH
FL
01
—
281446
VALUE OPTIONS
FL
01
—
74396
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/06/2006
Last updated
07/08/2007
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