Individual
DR. IRAN NEAL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1736 E SUNSHINE ST, STE 510, SPRINGFIELD, MO 65804-1331
(417) 882-9734
(417) 326-4707
Mailing address
PO BOX 144, BOLIVAR, MO 65613
(417) 882-9734
(417) 326-4707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00024
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14312
BC
MO
05
—
492904404
—
MO
01
—
6157984
UBH
MO
01
—
R00673
PREMIER
MO
Enumeration date
02/22/2007
Last updated
12/05/2016
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