Individual
MR. TRACY J. COHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
125 BROAD ST, DUBLIN, VA 24084-3201
(540) 674-4506
(540) 674-4507
Mailing address
510 FAIRVIEW AVE, STE 101, BLACKSBURG, VA 24060-5720
(540) 230-5958
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810004007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528211901
—
VA
Enumeration date
10/29/2008
Last updated
08/16/2016
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