Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1522 | OH |
N | 103T00000X | Psychologist | 1522 | OH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1522 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1522 | OH |
N | 103G00000X | Clinical Psychologist | 1522 | OH |
N | 103TC0700X | Clinical Psychologist | 1522 | OH |
N | 103TC1900X | Counseling Psychologist | 1522 | OH |
N | 103TH0100X | Health Service | 1522 | OH |
N | 103TP2701X | Group Psychotherapist | 1522 | OH |
N | 103TR0400X | Rehabilitation Psychologist | 1522 | OH |
NPI | 1659597987 |
---|---|
Provider Name | Dr. Doris Eliana Cohen |
First Address | Beachwood, OH 44122-7139 |
Second Address | Wickliffe, OH 44092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |