Provider Demographics
NPI:1992095962
Name:COHEN, STEPHANIE JOHNSTON (DC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:JOHNSTON
Last Name:COHEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16422 DAWNCREST WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7135
Mailing Address - Country:US
Mailing Address - Phone:832-315-9721
Mailing Address - Fax:713-513-5335
Practice Address - Street 1:4502 RIVERSTONE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5213
Practice Address - Country:US
Practice Address - Phone:832-315-9721
Practice Address - Fax:713-513-5335
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11677111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation