Provider Demographics
NPI:1801188115
Name:COHEN, ERIN
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-6718
Mailing Address - Country:US
Mailing Address - Phone:240-988-3176
Mailing Address - Fax:
Practice Address - Street 1:14 BERKELEY ST
Practice Address - Street 2:APT. 1F
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2845
Practice Address - Country:US
Practice Address - Phone:240-988-3176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist