Doctor Name: | BARRY JASON COHEN |
NPI Number: | 1588789317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.P.C. |
License Number: | 2765 |
Business Practice Address: | 2727 W 92nd Ave Ste 100c Federal Heights, CO - 802605269 |
Business Phone Number: | 3038076110 |
Business Fax Number: | 3034326190 |
Mailing Address: | 4070 Ames St, WHEAT RIDGE |
State: | CO |
Postal Code: | 802127206 |
Phone Number: | 3038076110 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |