Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6301007640 | MI |
Y | 103T00000X | Psychologist | 6301007640 | MI |
NPI | 1013194265 |
---|---|
Provider Name | Dr. Robert Paul Cohen |
First Address | Ann Arbor, MI 48104-2024 |
Second Address | Ann Arbor, MI 48104-2024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 29/01/2008 |