Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 2-3049 | TX |
N | 103TS0200X | School Psychologist | 6165 | TX |
NPI | 1104247675 |
---|---|
Provider Name | Dr. Christine R Cohen |
First Address | Terrell, TX 75160-1613 |
Second Address | Terrell, TX 75160-3243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2013 |
Last Update Date | 30/12/2013 |