Individual
DR. STEVEN COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Mailing address
12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL 33907-5676
(239) 278-3443
(239) 278-3550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7187
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PY7187
FL
103TH0100X
Health Service Psychologist
PY7187
FL
Other
Enumeration date
10/13/2006
Last updated
08/24/2011
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