Provider Demographics
NPI:1376709287
Name:COHEN, DONALD PAUL
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:PAUL
Last Name:COHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:PROF
Other - First Name:DONALD
Other - Middle Name:PAUL
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:23 FIVE CROWN ROYAL
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2844
Mailing Address - Country:US
Mailing Address - Phone:856-304-7187
Mailing Address - Fax:
Practice Address - Street 1:23 FIVE CROWN ROYAL
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2844
Practice Address - Country:US
Practice Address - Phone:856-304-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01174011TY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical