Individual
DR. BENJAMIN N. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
905 E MARTIN LUTHER KING JR DR STE 211, TARPON SPRINGS, FL 34689-4827
(727) 271-3112
(727) 271-3112
Mailing address
PO BOX 1546, TARPON SPRINGS, FL 34688-1546
(727) 271-3112
(813) 792-7149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292384
AMERIGROUP PROVIDER NUMBE
FL
01
—
328173
WELLCARE PROVIDER ID
FL
01
—
7247804
AETNA PROVIDER ID
FL
05
—
7685165
—
FL
Enumeration date
05/20/2006
Last updated
10/24/2018
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