Cohen, Stephen Richard

Cohen, Stephen Richard is an sole proprietor health care provider with primary practice located at 2523 El Portal Dr Suite 103, San Pablo CA 94806-3305. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cohen, Stephen Richard can be contacted via phone (510) 374-7505.

Contact Information

Primary practice address
2523 El Portal Dr Suite 103 San Pablo CA 94806-3305
Fax: (510) 374-7504
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144370040
LBN Legal business name Cohen, Stephen Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 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 1144370040 NPPES
California Other 1839 CLINICIAN NUMBER

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