Individual
JONATHAN REED COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-6392
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY10000110
MA
103TC0700X
Clinical Psychologist
PSY10000110
MA
Other
Enumeration date
07/19/2017
Last updated
08/29/2023
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