Provider Demographics
NPI:1386936227
Name:GOLDBERG-COHEN, FRANCES J
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:J
Last Name:GOLDBERG-COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2205
Mailing Address - Country:US
Mailing Address - Phone:203-387-6000
Mailing Address - Fax:
Practice Address - Street 1:275 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2205
Practice Address - Country:US
Practice Address - Phone:203-387-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0073051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical