| Lydia J Cohan Md Pc | |
|
1800 E Van Buren St Phoenix AZ 85006-3742 | |
| (602) 251-8500 | |
| Not Available |
| Full Name | Lydia J Cohan Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1800 E Van Buren St, Phoenix, Arizona |
| Authorized Official Name and Position | Lydia J Cohan (PRESIDENT) |
| Authorized Official Contact | 9286491971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia J Cohan Md Pc Po Box 14631 Scottsdale AZ 85267-4631 Ph: (928) 649-1971 | Lydia J Cohan Md Pc 1800 E Van Buren St Phoenix AZ 85006-3742 Ph: (602) 251-8500 |
| NPI Number | 1508312190 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508312190 | NPI | - | NPPES |
| 117590 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20724 (Arizona) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 20724 (Arizona) | Primary |
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