Provider Demographics
NPI:1003338062
Name:COHEN, JULIA (SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2981 MORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-4734
Mailing Address - Country:US
Mailing Address - Phone:516-445-6177
Mailing Address - Fax:
Practice Address - Street 1:2981 MORELAND AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-4734
Practice Address - Country:US
Practice Address - Phone:516-445-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist