Individual
STEPHANIE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, ROOM 206, MACHT BUILDING, CAMBRIDGE, MA 02139-1047
(617) 665-1187
(617) 665-3449
Mailing address
1493 CAMBRIDGE ST, ROOM 206, MACHT BUILDING, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
278679
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
11/30/2020
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