Provider Demographics
NPI:1477550291
Name:COHEN-ARCHER, COLBY REBECCA (PHD)
Entity Type:Individual
Prefix:DR
First Name:COLBY
Middle Name:REBECCA
Last Name:COHEN-ARCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WYNDHAM HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514
Mailing Address - Country:US
Mailing Address - Phone:859-327-6459
Mailing Address - Fax:
Practice Address - Street 1:841 CORPORATE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-327-6459
Practice Address - Fax:859-296-2833
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1411103TC1900X
KY1141103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist