Individual
MR. HERB ROGER COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
255 S 17TH ST, 1509, PHILADELPHIA, PA 19103-6231
(215) 884-8235
(215) 884-4915
Mailing address
61 CHELFIELD RD, GLENSIDE, PA 19038-1401
(215) 884-8235
(214) 884-4915
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000308
PA
Other
Enumeration date
12/02/2006
Last updated
07/08/2007
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