Daniel Cossaboon Private Practice LLC

NPI #1033342613 in Cody, Wyoming

Provider Information

NPI Number
1033342613
Entity Type
Organization
Organization Name
Daniel Cossaboon Private Practice LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 28, 2009
Last Updated
Aug 28, 2009

Practice Location

Address
1001 14TH ST
City
Cody
State
Wyoming
ZIP Code
82414-3745
Phone
(307) 250-7527

Authorized Official

Name
DR. DANIEL SEIKI COSSABOON, PSY.D.
Title
NEUROPSYCHOLOGIST
Phone
(307) 250-7527

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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