Organization
JAY L. COHEN, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY L. COHEN PH.D. (OWNER)
(248) 514-1473
Entity
Organization
Contact information
Practice address
25900 GREENFIELD RD, SUITE 405, OAK PARK, MI 48237-1292
(248) 514-1473
Mailing address
26010 MARLOWE PL, OAK PARK, MI 48237-1044
(248) 514-1473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013378
MI
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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