Provider Demographics
NPI:1326200981
Name:COHEALTH PSYCHOLOGY SERVICES, PA
Entity Type:Organization
Organization Name:COHEALTH PSYCHOLOGY SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASCIANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-272-3992
Mailing Address - Street 1:4901 MORENA BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-3423
Mailing Address - Country:US
Mailing Address - Phone:858-272-3992
Mailing Address - Fax:858-272-3804
Practice Address - Street 1:4901 MORENA BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-3423
Practice Address - Country:US
Practice Address - Phone:858-272-3992
Practice Address - Fax:858-272-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty