| Dr Herbert S Cohen | |
|
106 Gun Club Road Stamford CT 06903-1024 | |
| (203) 968-0469 | |
| Not Available |
| Full Name | Dr Herbert S Cohen |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 106 Gun Club Road, Stamford, Connecticut |
| Authorized Official Name and Position | Herbert S Cohen (PRESIDENT) |
| Authorized Official Contact | 2039680469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Herbert S Cohen 106 Gun Club Road Stamford CT 06903-1024 Ph: (203) 968-0469 | Dr Herbert S Cohen 106 Gun Club Road Stamford CT 06903-1024 Ph: (203) 968-0469 |
| NPI Number | 1164594065 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719200922 |
|---|---|
| Medicare Enrollment ID | O20141219000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164594065 | NPI | - | NPPES |
| 060000918CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 000918 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | 00145 (Connecticut) | Primary |
| Provider Name | Herbert S Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720357528 PECOS PAC ID: 0547156721 Enrollment ID: I20040225000089 |
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