Doctor Name: | DR. ARIES NICHELLE COBB |
NPI Number: | 1487928628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1817449 |
Business Practice Address: | 3618 Raymont Blvd University Heights, OH - 441182617 |
Business Phone Number: | 2162170561 |
Business Fax Number: | 2168481202 |
Mailing Address: | 3618 Raymont Blvd, UNIVERSITY HEIGHTS |
State: | OH |
Postal Code: | 441182617 |
Phone Number: | 2162170561 |
Fax Number: | 2168481202 |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225CA2400X |
License Number: | 1817449 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Counselor |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |