Individual
RONALD COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0333
(352) 265-0301
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-7999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8583
FL
103TC0700X
Clinical Psychologist
PS00496
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205331
BLUECHIP
RI
01
—
3362-4
BCBS RI
RI
Enumeration date
01/08/2006
Last updated
10/12/2012
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