Provider Demographics
NPI:1023064201
Name:COHEN, SHEILA L (PHD)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:L
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 1:150 TIMBER CREEK DRIVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018
Mailing Address - Country:US
Mailing Address - Phone:901-751-4430
Mailing Address - Fax:
Practice Address - Street 1:150 TIMBER CREEK DR
Practice Address - Street 2:SUITE 6
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4236
Practice Address - Country:US
Practice Address - Phone:901-751-4430
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1500103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3686175Medicare ID - Type UnspecifiedMEDICARE