Individual
STEVEN M COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 N PENNSYLVANIA AVE, SUITE 990-B, ROSWELL, NM 88201-4754
(575) 622-6437
(575) 622-3037
Mailing address
PO BOX 3182, ROSWELL, NM 88202-3182
(575) 622-6437
(575) 622-3037
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
458
NM
103TC0700X
Clinical Psychologist
458
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
458
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0526
—
NM
Enumeration date
08/25/2005
Last updated
05/02/2013
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