Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 019308 | NY |
Y | 103TC0700X | Clinical Psychologist | 019308 | NY |
NPI | 1013163658 |
---|---|
Provider Name | Jeanette Sawyer Cohen |
First Address | Brooklyn, NY 11238-4978 |
Second Address | Brooklyn, NY 11238-4978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 16/09/2013 |