Provider Demographics
NPI:1790814010
Name:COGAN, ROBIN P (LMHC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:P
Last Name:COGAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 LARKIN RD
Mailing Address - Street 2:PO BOX 817
Mailing Address - City:BYFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01922-1518
Mailing Address - Country:US
Mailing Address - Phone:978-373-2752
Mailing Address - Fax:978-373-2641
Practice Address - Street 1:8 HOWARD ST # 10
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-4006
Practice Address - Country:US
Practice Address - Phone:978-373-2752
Practice Address - Fax:978-373-2641
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3839101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM0401OtherBCBSMA
MA2083774OtherCIGNA