Individual
DANIEL SEIKI COSSABOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
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
103G00000X
Clinical Neuropsychologist
Primary
440
WY
103T00000X
Psychologist
440
WY
Other
Enumeration date
07/15/2008
Last updated
08/28/2009
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