Provider Demographics
NPI:1518169085
Name:COHOWICZ, JENNIE S (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:S
Last Name:COHOWICZ
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FRIENDLY WAY
Mailing Address - Street 2:
Mailing Address - City:STORMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12582-5001
Mailing Address - Country:US
Mailing Address - Phone:914-469-7449
Mailing Address - Fax:
Practice Address - Street 1:10 FRIENDLY WAY
Practice Address - Street 2:
Practice Address - City:STORMVILLE
Practice Address - State:NY
Practice Address - Zip Code:12582-5001
Practice Address - Country:US
Practice Address - Phone:914-469-7449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011675-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist