Provider Demographics
NPI:1417186909
Name:CATHY J COHN, PHD, LLC
Entity Type:Organization
Organization Name:CATHY J COHN, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-939-8855
Mailing Address - Street 1:1565 ROCKMONT CIR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6822
Mailing Address - Country:US
Mailing Address - Phone:303-939-8855
Mailing Address - Fax:303-494-4103
Practice Address - Street 1:1565 ROCKMONT CIR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-6822
Practice Address - Country:US
Practice Address - Phone:303-939-8855
Practice Address - Fax:303-494-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO03100201103TS0200X
CO9929581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty