Individual
MR. BRADLEY PHILLIP COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
911 COUNTRY CLUB RD STE 290, EUGENE, OR 97401-1301
(541) 313-6199
(541) 576-8977
Mailing address
911 COUNTRY CLUB RD STE 290, EUGENE, OR 97401-1301
(541) 313-6199
(541) 576-8977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
2867
OR
103TS0200X
School Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662798
—
OR
Enumeration date
05/17/2007
Last updated
09/29/2023
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