Provider Demographics
NPI:1447697685
Name:COHEN-THOMPSON, NAOMI L (LCAT, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:L
Last Name:COHEN-THOMPSON
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 47TH ST
Mailing Address - Street 2:#3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1215
Mailing Address - Country:US
Mailing Address - Phone:718-715-9995
Mailing Address - Fax:
Practice Address - Street 1:641 PRESIDENT ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1523
Practice Address - Country:US
Practice Address - Phone:718-715-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health