Provider Demographics
NPI:1043837164
Name:COHEE, AMBER
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:COHEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E LAUREL STREET EXT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-2214
Mailing Address - Country:US
Mailing Address - Phone:302-236-4868
Mailing Address - Fax:
Practice Address - Street 1:710 E LAUREL STREET EXT
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2214
Practice Address - Country:US
Practice Address - Phone:302-236-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities