Individual
MARTHA SUSAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
416 E HENNEPIN AVE, STE 107, MINNEAPOLIS, MN 55414-1006
(612) 379-5360
(612) 379-5360
Mailing address
416 E HENNEPIN AVE, STE 107, MINNEAPOLIS, MN 55414-1006
(612) 379-5360
(612) 379-5360
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02849CO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/12/2008
Last updated
03/12/2008
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