Individual
DR. BETH AMY COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
112 A ST, DAVIS, CA 95616-4608
(916) 254-8980
Mailing address
112 A ST, DAVIS, CA 95616-4608
(916) 254-8980
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY12003
LICENSE NUMBER
CA
Enumeration date
03/10/2006
Last updated
07/08/2007
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