Provider Demographics
NPI:1427219161
Name:COHEN, NATALIE (MA MFT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:GODESSOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA MFT
Mailing Address - Street 1:18075 VENTURA BLVD
Mailing Address - Street 2:#226
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3517
Mailing Address - Country:US
Mailing Address - Phone:818-744-5678
Mailing Address - Fax:
Practice Address - Street 1:18075 VENTURA BLVD
Practice Address - Street 2:#226
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3517
Practice Address - Country:US
Practice Address - Phone:818-744-5678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist