Provider Demographics
NPI:1841466851
Name:MARLA B. COHEN, PSY.D., P.C.
Entity type:Organization
Organization Name:MARLA B. COHEN, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:BRITT
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:856-427-0888
Mailing Address - Street 1:52 BERLIN ROAD, SUITE 1000
Mailing Address - Street 2:THE ANJA BUILDING
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3574
Mailing Address - Country:US
Mailing Address - Phone:856-427-0888
Mailing Address - Fax:856-427-0089
Practice Address - Street 1:52 BERLIN ROAD, SUITE 1000
Practice Address - Street 2:THE ANJA BUILDING
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3574
Practice Address - Country:US
Practice Address - Phone:856-427-0888
Practice Address - Fax:856-427-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI03757103TC0700X
NJNJSI03757103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty