Individual
DR. JODIE GAYLE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 496-3903
(518) 621-0761
Mailing address
200 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 496-3903
(518) 621-0761
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
021970
NY
103TC2200X
Clinical Child & Adolescent Psychologist
021970
NY
Other
Enumeration date
09/02/2011
Last updated
03/10/2017
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