Cohen, Roger F

Cohen, Roger F is an sole proprietor health care provider with primary practice located at 2045 Keota Ln , Superior CO 80027-8118. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Cohen, Roger F can be contacted via phone (617) 901-3764.

Contact Information

Primary practice address
2045 Keota Ln Superior CO 80027-8118
Fax: (844) 224-2894
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3586 Massachusetts

Profile Details

NPI number 1235131194
LBN Legal business name Cohen, Roger F
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Mar 21st, 2024 - about last year

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 1235131194 NPPES
Massachusetts MEDICAID 0517119

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