Dr. Gary Don Cobb, Ph.D.
Psychologist, Clinical in Fairfax, VA. Individual provider (NPI-1).
NPI number1245397751
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245397751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary Don Cobb
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 0814001673 | VA | Yes |
Practice location
4001 Fair Ridge DrSuite 305
Fairfax, VA 22033-2917
Phone 703-883-4774 · Fax 703-218-1824
Mailing address
4001 Fair Ridge DrSuite 305
Fairfax, VA 22033-2917
Phone 703-883-4774 · Fax 703-218-1824
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