Provider Demographics
NPI:1164566295
Name:COHEN, JANICE E (MD)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5262 DIAMOND HEIGHTS BLVD
Mailing Address - Street 2:POST OFFICE BOX 31037
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2118
Mailing Address - Country:US
Mailing Address - Phone:415-566-6683
Mailing Address - Fax:
Practice Address - Street 1:700 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2629
Practice Address - Country:US
Practice Address - Phone:415-566-6683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG757112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry