Provider Demographics
NPI:1952424756
Name:COHL, BARBARA RENEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:RENEE
Last Name:COHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 654
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-0654
Mailing Address - Country:US
Mailing Address - Phone:301-503-3703
Mailing Address - Fax:301-776-2896
Practice Address - Street 1:659A MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4067
Practice Address - Country:US
Practice Address - Phone:301-503-3703
Practice Address - Fax:301-776-2896
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2112103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD248450OtherKAISER PERMANENTE
MD7390744OtherAETNA
MDK5210001OtherBLUE CROSS BLUE SHIELD