Provider Demographics
NPI:1508230442
Name:ST COHEN LLC
Entity Type:Organization
Organization Name:ST COHEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA CCC-SLP
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-961-2275
Mailing Address - Street 1:135 REGENT PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3030
Mailing Address - Country:US
Mailing Address - Phone:732-961-2275
Mailing Address - Fax:732-961-2275
Practice Address - Street 1:135 REGENT PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3030
Practice Address - Country:US
Practice Address - Phone:732-961-2275
Practice Address - Fax:732-961-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00496000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty