Provider Demographics
NPI:1851732473
Name:COHEN, HINDY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HINDY
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3055
Mailing Address - Country:US
Mailing Address - Phone:732-367-0780
Mailing Address - Fax:732-276-1416
Practice Address - Street 1:66 GLEN AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3055
Practice Address - Country:US
Practice Address - Phone:732-367-0780
Practice Address - Fax:732-276-1416
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00332600235Z00000X
NY010455-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist