Provider Demographics
NPI:1073007555
Name:COHEN, CLAIRE LEVITCH (CNS, LDN)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LEVITCH
Last Name:COHEN
Suffix:
Gender:F
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 SAINT DUNSTANS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3736
Mailing Address - Country:US
Mailing Address - Phone:310-909-4573
Mailing Address - Fax:
Practice Address - Street 1:610 SAINT DUNSTANS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3736
Practice Address - Country:US
Practice Address - Phone:310-909-4573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4384133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist