Provider Demographics
NPI:1043308273
Name:COHAN, MAUREEN F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:F
Last Name:COHAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:MAUREEN
Other - Middle Name:C
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:332 KENWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054
Mailing Address - Country:US
Mailing Address - Phone:518-439-7460
Mailing Address - Fax:518-456-6512
Practice Address - Street 1:332 KENWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054
Practice Address - Country:US
Practice Address - Phone:518-439-7460
Practice Address - Fax:518-456-6512
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012855104100000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker