Provider Demographics
NPI:1932269743
Name:COHEN, SUSAN E (MA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:E
Last Name:COHEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1758
Mailing Address - Country:US
Mailing Address - Phone:215-860-9742
Mailing Address - Fax:215-860-9758
Practice Address - Street 1:638 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 1H
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1758
Practice Address - Country:US
Practice Address - Phone:215-860-9742
Practice Address - Fax:215-860-9758
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006362L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical