Provider Demographics
NPI:1063922755
Name:COGNITIVE PATHS, LLC
Entity type:Organization
Organization Name:COGNITIVE PATHS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RANADA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:216-246-1671
Mailing Address - Street 1:3401 ENTERPRISE PKWY STE 340
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7340
Mailing Address - Country:US
Mailing Address - Phone:216-246-1671
Mailing Address - Fax:216-249-7958
Practice Address - Street 1:3401 ENTERPRISE PKWY STE 340
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7340
Practice Address - Country:US
Practice Address - Phone:216-249-7959
Practice Address - Fax:216-249-7958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-07
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7515103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty