Organization
DAN COSSABOON GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S COSSABOON PSYD (DIRECTOR)
(307) 250-7527
Entity
Organization
Contact information
Practice address
1001 14TH ST, CODY, WY 82414-3745
(307) 527-5432
Mailing address
1001 14TH ST, CODY, WY 82414-3745
(307) 527-5432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
440
WY
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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