| Organization Name: | BEN COHEN, PH.D., P.C. |
| NPI Number: | 1003090929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BEN COHEN (PRESIDENT/OWNER) |
| Mailing Address: | 1634 Walnut St Suite 221 Boulder |
| State: | CO US |
| Postal Code: | 803025400 |
| Phone Number: | 3037175651 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 1616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |