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Individual

DENNIS L COBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1600 LAKE FRONT CIR, SUITE 150, THE WOODLANDS, TX 77380-3613
(281) 367-5664
(281) 292-4018
Mailing address
4810 W PANTHER CREEK DR, SUITE 100, THE WOODLANDS, TX 77381-5008
(281) 367-5664
(281) 292-4018

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-1505
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0327546-01
TX
Enumeration date
12/20/2005
Last updated
05/02/2017
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