Provider Demographics
NPI:1912127051
Name:COHEN, FAITH HARTMAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:HARTMAN
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S 19TH ST STE 240
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4921
Mailing Address - Country:US
Mailing Address - Phone:215-561-8324
Mailing Address - Fax:
Practice Address - Street 1:135 S 19TH ST STE 240
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4921
Practice Address - Country:US
Practice Address - Phone:215-561-8324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-30
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA009673E102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VO200688OtherVALUE OPTIONS
CO1827901Medicare UPIN