Individual
DR. LYDIA J COHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(480) 205-1786
Mailing address
PO BOX 14631, SCOTTSDALE, AZ 85267-4631
(480) 205-1786
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20724
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20724
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117590
—
AZ
Enumeration date
07/31/2006
Last updated
06/15/2016
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