Dennis L. Coburn, PH.D. & Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21505 Issued in TX

Legal business name

DENNIS L. COBURN, PH.D. & ASSOCIATES

Practice address

4810 W Panther Creek Dr
Suite 100
The Woodlands, TX 77381-5008

Phone

(281) 367-5664

Fax

(281) 292-4018

NPI assigned

Mar 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis L Coburn, PH.D.NPI 1598741662

Title

Owner (Psychologist)

Phone

(281) 367-5664

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis L Coburn, PH.D.

  • Psychologist
  • The Woodlands, TX
  • NPI 1598741662
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1144340290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7338",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773877338",
            "telephone_number": "281-367-5664",
            "fax_number": "281-292-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W PANTHER CREEK DR",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773815008",
            "telephone_number": "281-367-5664",
            "fax_number": "281-292-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L. COBURN, PH.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER (PSYCHOLOGIST)",
        "authorized_official_telephone_number": "281-367-5664",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327546-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Giselle Delgado
• Michele C Delhaye, OTR/L
• Bettina Delong, L.P.C.
• Carlo Greg Niepes Demandante, M.D.
• Kinley Jean Deming
• Kandis Dennis
• Kendall Deran Denson, N/A
• Dental Provider Resources 5, PLLC
• Dental Specialists of the Woodlands
• Dentistry and Orthodontics, PLLC

• Psychologist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.