Doctor Name: | DR. RON L. COHORN |
NPI Number: | 1295732626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 20981 |
Business Practice Address: | 710 S Gregg St Suite 229 Big Spring, TX - 797202425 |
Business Phone Number: | 4322671711 |
Business Fax Number: | 4322671721 |
Mailing Address: | Po Box 430, BIG SPRING |
State: | TX |
Postal Code: | 797210430 |
Phone Number: | 4322671711 |
Fax Number: | 4322671721 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |