Provider Demographics
NPI:1891849535
Name:COHEN, NURIT KOVNATOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:NURIT
Middle Name:KOVNATOR
Last Name:COHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 N EL MOLINO AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1873
Mailing Address - Country:US
Mailing Address - Phone:626-798-1291
Mailing Address - Fax:626-796-6141
Practice Address - Street 1:131 N EL MOLINO AVE
Practice Address - Street 2:SUITE 380
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1873
Practice Address - Country:US
Practice Address - Phone:626-798-1291
Practice Address - Fax:626-796-6141
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12293103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP 12293AMedicare PIN