Provider Demographics
NPI:1568515575
Name:COHEN, MARLA BRITT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:BRITT
Last Name:COHEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BERLIN ROAD, SUITE 1000
Mailing Address - Street 2:THE ANJA BUILDING
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3574
Mailing Address - Country:US
Mailing Address - Phone:856-427-0888
Mailing Address - Fax:856-427-0089
Practice Address - Street 1:52 BERLIN ROAD, SUITE 1000
Practice Address - Street 2:THE ANJA BUILDING
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3574
Practice Address - Country:US
Practice Address - Phone:856-427-0888
Practice Address - Fax:856-427-0089
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00375700103TC0700X
NJNJS103757103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ035212Medicare ID - Type Unspecified