Individual
STACY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC SLP
Contact information
Practice address
700 REGENT ST STE 300, MADISON, WI 53715-2634
(608) 567-4465
Mailing address
2921 COLGATE RD, MADISON, WI 53705-2262
(608) 345-4762
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3055-226
WI
235Z00000X
Speech-Language Pathologist
2460
WI
Other
Enumeration date
04/18/2006
Last updated
10/02/2018
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