Provider Demographics
NPI:1659491199
Name:COHEN, JANET F (PH,D)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:F
Last Name:COHEN
Suffix:
Gender:F
Credentials:PH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 SE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2319
Mailing Address - Country:US
Mailing Address - Phone:954-463-2273
Mailing Address - Fax:954-779-1643
Practice Address - Street 1:1417 SE 4TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2319
Practice Address - Country:US
Practice Address - Phone:954-463-2273
Practice Address - Fax:954-779-1643
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT0000283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist