Coburn, Dennis L
Coburn, Dennis L is an sole proprietor health care provider with primary practice located at 1600 Lake Front Cir Suite 150, The Woodlands TX 77380-3613. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Coburn, Dennis L can be contacted via phone (281) 367-5664.Contact Information
Primary practice address
1600 Lake Front Cir Suite 150
The Woodlands TX 77380-3613
Phone: (281) 367-5664
Fax: (281) 292-4018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2-1505 | Texas |
Profile Details
| NPI number | 1598741662 |
|---|---|
| LBN Legal business name | Coburn, Dennis L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | May 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598741662 | NPPES |
| Texas | MEDICAID | 0327546-01 |
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