Individual
MS. EMILY R COGDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HSP-PA, BCBA
Contact information
Practice address
308 GREENVILLE BLVD SE, SUITE B1, GREENVILLE, NC 27858-5758
(252) 341-4192
(866) 309-9297
Mailing address
308 GREENVILLE BLVD SE, SUITE B-1, GREENVILLE, NC 27858-5758
(252) 341-4192
(866) 309-9297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3251
NC
103T00000X
Psychologist
3368
NC
103TB0200X
Cognitive & Behavioral Psychologist
3368
NC
103TC0700X
Clinical Psychologist
3368
NC
171000000X
Military Health Care Provider
1-07-3251
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408205
—
NC
Enumeration date
04/17/2008
Last updated
03/22/2023
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