Provider Demographics
NPI:1477750560
Name:COHEN, ESTHER ANNE (PHD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:ANNE
Last Name:COHEN
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 1:335 DRIFTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5510
Mailing Address - Country:US
Mailing Address - Phone:510-864-3503
Mailing Address - Fax:510-769-1824
Practice Address - Street 1:1910 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2623
Practice Address - Country:US
Practice Address - Phone:510-864-3503
Practice Address - Fax:510-769-1824
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical