Basic Information
Provider Information
NPI: 1497794424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COHEN-KATZ
FirstName: JOANNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1754
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181051754
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber: 4848840699
Practice Location
Address1: 1259 S CEDAR CREST BLVD
Address2: SUITE 230
City: ALLENTOWN
State: PA
PostalCode: 181036372
CountryCode: US
TelephoneNumber: 6104025900
FaxNumber: 6108212038
Other Information
ProviderEnumerationDate: 06/05/2006
LastUpdateDate: 02/18/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPS008285LPAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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