| Daniel Cossaboon Private Practice Llc | |
|
1001 14th St Cody WY 82414-3745 | |
| (307) 250-7527 | |
| Not Available |
| Full Name | Daniel Cossaboon Private Practice Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1001 14th St, Cody, Wyoming |
| Authorized Official Name and Position | Daniel Seiki Cossaboon (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 3072507527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Cossaboon Private Practice Llc 1001 14th St Cody WY 82414-3745 Ph: (307) 250-7527 | Daniel Cossaboon Private Practice Llc 1001 14th St Cody WY 82414-3745 Ph: (307) 250-7527 |
| NPI Number | 1033342613 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033342613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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