Christine R Cohen, PH.D., L.S.S.P.
Individual provider Active NPI Clinical Child & Adolescent Psychologist · Terrell, TX
NPI 1104247675 · NPPES record last updated Dec 30, 2013
Key facts
- NPI
- 1104247675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- 2-3049 (TX)
- Practice address
- 102 E Moore Ave
Suite 225
Terrell, TX 75160-3243 - Phone
- (972) 489-7871
- NPI assigned
- Dec 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-3049 | TX | MD | Clinical Child & Adolescent Psychologist |
| 6165 | TX | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2-3049 | TX | Yes |
| School Psychologist | 103TS0200X | 6165 | TX |
Addresses
Primary practice location
102 E Moore Ave
Suite 225
Terrell, TX 75160-3243
Mailing address
222 Elm Dr
Terrell, TX 75160-1613
Phone (972) 489-7871
Other providers in Terrell, TX
- Shahzad Aslam Choudhry
- Casheba Christopher
- Anthony Claxton
- Jerri Coates
- Alex Cockrill
- Michael Edward Collier
- Lashervia Collins
- Kacey Collum
- Comfort Dental, PA
- Compassionate Care Providers (CCP) Incorporated
All providers in Terrell, TX · Clinical Child & Adolescent Psychologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.