Provider Demographics
NPI:1184901886
Name:COHN, DAVID W
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:COHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 FRANCISCAN DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2823
Mailing Address - Country:US
Mailing Address - Phone:650-255-3852
Mailing Address - Fax:
Practice Address - Street 1:184 FRANCISCAN DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2823
Practice Address - Country:US
Practice Address - Phone:650-255-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)