Provider Demographics
NPI:1689712176
Name:COHEN, IRENE ES (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:ES
Last Name:COHEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 STILES RD
Mailing Address - Street 2:STE 212
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2853
Mailing Address - Country:US
Mailing Address - Phone:603-560-0548
Mailing Address - Fax:603-546-7666
Practice Address - Street 1:23 STILES RD
Practice Address - Street 2:SUITE 218
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2859
Practice Address - Country:US
Practice Address - Phone:603-560-0548
Practice Address - Fax:603-546-7666
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHNH0365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0012434OtherMEDICARE PTAN