Provider Demographics
NPI:1528028529
Name:COHEN, RUTH J (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:J
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19920 N CANYON WHISPER DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-7269
Mailing Address - Country:US
Mailing Address - Phone:623-337-3388
Mailing Address - Fax:623-322-1938
Practice Address - Street 1:16804 W PALISADE TRAIL LN # 12
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-7229
Practice Address - Country:US
Practice Address - Phone:623-337-3388
Practice Address - Fax:623-298-2068
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT-32424106H00000X
CA358988163WL0100X
AZ10219106H00000X
AZLMFT-10219106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant