Provider Demographics
NPI:1265632293
Name:COHEN, DEBRA J (MA, ATR, LPC, BCPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:J
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA, ATR, LPC, BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4721 MCKNIGHT RD
Mailing Address - Street 2:SUITE 218 SOUTH
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3415
Mailing Address - Country:US
Mailing Address - Phone:412-841-4215
Mailing Address - Fax:
Practice Address - Street 1:4721 MCKNIGHT RD
Practice Address - Street 2:SUITE 218 SOUTH
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3415
Practice Address - Country:US
Practice Address - Phone:412-367-3212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional