Provider Demographics
NPI:1740205087
Name:COHN, RICHARD A (MFT)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:COHN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SAWTELLE BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-6264
Mailing Address - Country:US
Mailing Address - Phone:310-478-8487
Mailing Address - Fax:310-943-1485
Practice Address - Street 1:2100 SAWTELLE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6264
Practice Address - Country:US
Practice Address - Phone:310-478-8487
Practice Address - Fax:310-943-1485
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM-13064106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist