Provider Demographics
NPI:1487939831
Name:COHN, DEBOAH JOAN (MS/CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:DEBOAH
Middle Name:JOAN
Last Name:COHN
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E 86TH ST
Mailing Address - Street 2:APT. 22A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3087
Mailing Address - Country:US
Mailing Address - Phone:212-722-8034
Mailing Address - Fax:
Practice Address - Street 1:740 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5409
Practice Address - Country:US
Practice Address - Phone:516-876-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003973235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist