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Individual

IRENE E.S. COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
23 STILES RD, SUITE 218, SALEM, NH 03079-2859
(603) 560-0548
(603) 546-7666
Mailing address
23 STILES RD, STE 212, SALEM, NH 03079-2853
(603) 560-0548
(603) 546-7666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
NH0365
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012434
MEDICARE PTAN
NH
Enumeration date
02/05/2007
Last updated
02/25/2020
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