Gary D. Cobb, Ph.d., P.c.

NPI #1780007450 in Fairfax, Virginia

Provider Information

NPI Number: 1780007450
Entity Type: Organization
Organization Name: Gary D. Cobb, Ph.d., P.c.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 30, 2014
Last Updated: Jan 30, 2014

Practice Location

Address: 4001 FAIR RIDGE DR
Address 2: SUITE 305
City: Fairfax
State: Virginia
ZIP Code: 22033-2917
Phone: (703) 883-4774

Authorized Official

Name: DR. GARY D. COBB, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (703) 883-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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