Cogen, Mary

Cogen, Mary is an individual health care provider with primary practice located at 2100 Yucca St , Santa Fe NM 87505-5456. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Cogen, Mary can be contacted via phone (505) 467-2996.

Contact Information

Primary practice address
2100 Yucca St Santa Fe NM 87505-5456
Phone: (505) 467-2996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X I-4132 New Mexico

Profile Details

NPI number 1659409787
LBN Legal business name Cogen, Mary
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659409787 NPPES
New Mexico MEDICAID B4406

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