MR. ELIOT EZRA BRUCE COHEN NPI 1336439033

NPI Information

MR. Eliot Ezra Bruce Cohen is a mental health counselor in Boulder, CO. MR. Eliot Ezra Bruce Cohen NPI is 1336439033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1333 IRIS AVE
BOULDER, CO
ZIP 80304-226
Phone: (303) 443-8500

The enumeration date for this NPI number is 4/14/2011 and was last updated on 4/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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