| Susan M. Cohen, Psy.d. Llc | |
|
577 Pamaele St Kailua HI 96734-3529 | |
| (808) 262-5335 | |
| (808) 230-2132 |
| Full Name | Susan M. Cohen, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 577 Pamaele St, Kailua, Hawaii |
| Authorized Official Name and Position | Susan M Cohen (PRESIDENT) |
| Authorized Official Contact | 8082625335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M. Cohen, Psy.d. Llc 577 Pamaele St Kailua HI 96734-3529 Ph: (808) 262-5335 | Susan M. Cohen, Psy.d. Llc 577 Pamaele St Kailua HI 96734-3529 Ph: (808) 262-5335 |
| NPI Number | 1134540495 |
|---|---|
| Provider Enumeration Date | 01/03/2014 |
| Last Update Date | 01/03/2014 |
| Medicare PECOS PAC ID | 9537443650 |
|---|---|
| Medicare Enrollment ID | O20170308001644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134540495 | NPI | - | NPPES |
| 5366790 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY742 (Hawaii) | Primary |
| Provider Name | Susan M Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295864080 PECOS PAC ID: 5698059715 Enrollment ID: I20170308001775 |
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