| Richard W Cohen | |
|
806 Ridge Ter Evanston IL 60201-2430 | |
| (847) 328-5022 | |
| Not Available |
| Full Name | Richard W Cohen |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 806 Ridge Ter, Evanston, Illinois |
| Authorized Official Name and Position | Richard W Cohen (OWNER) |
| Authorized Official Contact | 8473255022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W Cohen 806 Ridge Ter Evanston IL 60201-2430 Ph: (847) 328-5022 | Richard W Cohen 806 Ridge Ter Evanston IL 60201-2430 Ph: (847) 328-5022 |
| NPI Number | 1780169136 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 10/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780169136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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