Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 016245 | NY |
N | 103TC0700X | Clinical Psychologist | 016245 | NY |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 016245 | NY |
NPI | 1043248768 |
---|---|
Provider Name | Celina E Cohen |
First Address | Rochester, NY 14617-3009 |
Second Address | Rochester, NY 14617-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 07/10/2010 |