Provider Demographics
NPI:1962738815
Name:COHEN, LISA ROBYN (LMHC)
Entity type:Individual
Prefix:MISS
First Name:LISA
Middle Name:ROBYN
Last Name:COHEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PRESTON LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4707
Mailing Address - Country:US
Mailing Address - Phone:516-317-1417
Mailing Address - Fax:516-317-1417
Practice Address - Street 1:35 PRESTON LN
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4707
Practice Address - Country:US
Practice Address - Phone:516-317-1417
Practice Address - Fax:516-317-1417
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001245101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health