Cochran-Roberts, Douglas Shepard

Cochran-Roberts, Douglas Shepard is an sole proprietor health care provider with primary practice located at 2651 Quinn Ct , Missoula MT 59804-1208. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cochran-Roberts, Douglas Shepard can be contacted via phone (406) 240-3510.

Contact Information

Primary practice address
2651 Quinn Ct Missoula MT 59804-1208
Phone: (406) 240-3510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 241 Montana
Behavioral Health & Social Service Providers / School 101YS0200X Montana
Behavioral Health & Social Service Providers / School 103TS0200X Montana

Profile Details

NPI number 1134338726
LBN Legal business name Cochran-Roberts, Douglas Shepard
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134338726 NPPES
Montana Other 241 LCPC LICENSE NUMBER

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