Provider Demographics
NPI:1093847923
Name:COHEN, MAURA S (PSY D)
Entity Type:Individual
Prefix:DR
First Name:MAURA
Middle Name:S
Last Name:COHEN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10850 WILSHIRE BLVD STE 1260
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4337
Mailing Address - Country:US
Mailing Address - Phone:424-284-8123
Mailing Address - Fax:
Practice Address - Street 1:621 S FEDERAL HWY
Practice Address - Street 2:SUITES 1 AND 2
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3100
Practice Address - Country:US
Practice Address - Phone:305-528-5002
Practice Address - Fax:954-769-9148
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6253103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical