Cohan, Judy Lynn
Cohan, Judy Lynn is an sole proprietor health care provider with primary practice located at 1517 Lori Lyn Ln , Northbrook IL 60062-4930. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cohan, Judy Lynn can be contacted via phone (847) 412-9966.Contact Information
Primary practice address
1517 Lori Lyn Ln
Northbrook IL 60062-4930
Phone: (847) 412-9966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-00205 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002505 |
Profile Details
| NPI number | 1154449569 |
|---|---|
| LBN Legal business name | Cohan, Judy Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Oct 11th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154449569 | NPPES |
| Illinois | Other | 149002505 | LICENSE |
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