Individual
JAYNE LEE COHODAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
012344
NY
103T00000X
Psychologist
Primary
012344
NY
103TC2200X
Clinical Child & Adolescent Psychologist
012344
NY
Other
Enumeration date
10/12/2006
Last updated
08/25/2009
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