Individual
DR. M. COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
532 DON GASPAR AVENUE, SANTA FE, NM 87505
(505) 986-6133
(866) 431-2050
Mailing address
56 CIELO DE ORO, SANTA FE, NM 87508
(505) 986-6133
(866) 431-2050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0980
NM
103TC0700X
Clinical Psychologist
2122-0057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39125800
—
WI
Enumeration date
09/30/2006
Last updated
04/18/2008
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