Provider Demographics
NPI:1407449622
Name:ROBERT COHEN, PH.D., P.C.
Entity Type:Organization
Organization Name:ROBERT COHEN, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:734-476-4232
Mailing Address - Street 1:300 N 5TH AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1467
Mailing Address - Country:US
Mailing Address - Phone:734-665-0066
Mailing Address - Fax:866-885-7462
Practice Address - Street 1:300 N 5TH AVE STE 220
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1467
Practice Address - Country:US
Practice Address - Phone:734-665-0066
Practice Address - Fax:866-885-7462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty