Individual
DR. LAURA COBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2072 SAMUEL PL, DECATUR, GA 30032-5322
(678) 718-5639
Mailing address
2072 SAMUEL PL, DECATUR, GA 30032-5322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY900242
GA
103TC0700X
Clinical Psychologist
PY12829
FL
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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