Individual
MR. JAMES W. COZY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-2247
Mailing address
3032 LAKE RD E, ASHTABULA, OH 44004-3829
(440) 964-0309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125947
ANTHEM BILLING #
OH
Enumeration date
06/15/2006
Last updated
07/08/2007
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