Dan Cossaboon Group

NPI #1881948800 in Cody, Wyoming

Provider Information

NPI Number: 1881948800
Entity Type: Organization
Organization Name: Dan Cossaboon Group
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 29, 2012
Last Updated: Oct 29, 2012

Practice Location

Address: 1001 14TH ST
City: Cody
State: Wyoming
ZIP Code: 82414-3745
Phone: (307) 527-5432

Authorized Official

Name: DR. DANIEL S COSSABOON, PSYD
Title: DIRECTOR
Phone: (307) 250-7527

Specialties & Taxonomy Codes

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

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