Provider Demographics
NPI:1114546157
Name:COHEN, HANNAH LOGAN
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LOGAN
Last Name:COHEN
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 1:23731 PARK MADRID
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1612
Mailing Address - Country:US
Mailing Address - Phone:818-912-7271
Mailing Address - Fax:
Practice Address - Street 1:23731 PARK MADRID
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1612
Practice Address - Country:US
Practice Address - Phone:818-912-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)