Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY002870 | GA |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY002870 | GA |
NPI | 1194029330 |
---|---|
Provider Name | Dr. Lindsey L Cohen |
First Address | Atlanta, GA 30303 |
Second Address | Atlanta, GA 30307-3408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2011 |
Last Update Date | 03/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PSY002870 | STATE OF GEORGIA, PSYCHOLOGIST LICENSURE (01) | GA |