Provider Demographics
NPI:1659122430
Name:DR. COHN'S CORRECTIVE COLLECTIVE
Entity Type:Organization
Organization Name:DR. COHN'S CORRECTIVE COLLECTIVE
Other - Org Name:RUTH COHN, PSYD
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-338-1430
Mailing Address - Street 1:1079 SUNRISE AVE STE B-244
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7009
Mailing Address - Country:US
Mailing Address - Phone:925-338-1430
Mailing Address - Fax:
Practice Address - Street 1:1079 SUNRISE AVE STE B-244
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7009
Practice Address - Country:US
Practice Address - Phone:925-338-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)