Organization
DANIEL COSSABOON PRIVATE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SEIKI COSSABOON PSY.D. (NEUROPSYCHOLOGIST)
(307) 250-7527
Entity
Organization
Contact information
Practice address
1001 14TH ST, CODY, WY 82414-3745
(307) 250-7527
Mailing address
1001 14TH ST, CODY, WY 82414-3745
(307) 250-7527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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