Provider Demographics
NPI:1780065482
Name:LAUREN K. COHN, PH.D., P.A.
Entity type:Organization
Organization Name:LAUREN K. COHN, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:KAPLAN
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:954-584-6478
Mailing Address - Street 1:8800 N LAKE DASHA DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3017
Mailing Address - Country:US
Mailing Address - Phone:954-474-4143
Mailing Address - Fax:954-797-4911
Practice Address - Street 1:7500 NW 5TH ST
Practice Address - Street 2:SUITE 111
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1612
Practice Address - Country:US
Practice Address - Phone:954-584-6478
Practice Address - Fax:954-797-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3990103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR98480Medicare UPIN