Provider Demographics
NPI:1417566738
Name:MONYA COHEN PSYD LLC
Entity type:Organization
Organization Name:MONYA COHEN PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONYA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:202-255-7180
Mailing Address - Street 1:2407 PONDSIDE TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5752
Mailing Address - Country:US
Mailing Address - Phone:301-598-0636
Mailing Address - Fax:
Practice Address - Street 1:2407 PONDSIDE TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5752
Practice Address - Country:US
Practice Address - Phone:301-598-0636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty