Individual
KENNETH ALLEN COGSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7013
Mailing address
1207 E BARLEY BRAE CT, SPOKANE, WA 99208-7552
(509) 434-7013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002417
WA
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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