Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35S100449000 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35S100449000 | NJ |
N | 103G00000X | Clinical Psychologist | 35S100449000 | NJ |
N | 103TC0700X | Clinical Psychologist | 35S100449000 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 35S100449000 | NJ |
N | 103TR0400X | Rehabilitation Psychologist | 35S100449000 | NJ |
NPI | 1235306689 |
---|---|
Provider Name | Dr. Joshua Reuben Cohen |
First Address | Red Bank, NJ 07701-1703 |
Second Address | Red Bank, NJ 07701-1703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 01/02/2021 |