Individual
DR. MITCHELL JAY COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
156 IDRIS RD, MERION STATION, PA 19066-1611
(610) 724-7824
Mailing address
156 IDRIS RD, MERION STATION, PA 19066-1611
(610) 724-7824
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005114L
PA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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