Provider Demographics
NPI:1710624929
Name:COHEN, JULIA RACHEL (MS, CCC-SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:RACHEL
Last Name:COHEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 66TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6206
Mailing Address - Country:US
Mailing Address - Phone:732-598-2383
Mailing Address - Fax:
Practice Address - Street 1:144 E 128TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1329
Practice Address - Country:US
Practice Address - Phone:212-369-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031387235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist