Mark Alan Cogburn in Shreveport - Marriage & Family Therapist
Mark Alan Cogburn - NPI 1952458713
Mark Alan Cogburn is a Marriage & Family Therapist in Shreveport, Louisiana. Mark Alan Cogburn practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mark Alan Cogburn is 1952458713. The last update date is 2016-10-19.
Mark Alan Cogburn's current location address is 1501 Kings Hwy, Shreveport, Louisiana. You can contact this provider via phone number 3186754881 and fax number 3186755069. The mailing address for Mark Alan Cogburn is 1501 Kings Hwy, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alan Cogburn |
|---|---|
| Address | 1501 Kings Hwy, Shreveport, Louisiana |
| Phone Number | 3186754881 |
| Fax Number | 3186755069 |
| Sole Proprietor | Y |
| Credentials | LPC,LMFT |
NPI Number Detail
| NPI Number | 1952458713 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2016-10-19 |
Provider Mailing Address Detail
| Address | 1501 Kings Hwy |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034228 |
| Phone Number | 3186754881 |
| Fax Number | 3186755069 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 177 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identification code assigned to Mark Alan Cogburn by the Centers for Medicare & Medicaid Services?
The Mark Alan Cogburn has been issued the NPI (National Provider Identifier) 1952458713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Alan Cogburn?
The Mark Alan Cogburn is situated at 1501 Kings Hwy, in the city of Shreveport, state of LA, with the zip code 711034228.
What is Mark Alan Cogburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Alan Cogburn is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
When did the Mark Alan Cogburn receive its 1952458713?
The Mark Alan Cogburn was issued its 1952458713 on 2007-01-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Mark Alan Cogburn's details last updated?
The information pertaining to the Mark Alan Cogburn, including its address, specialty, and other details, was most recently updated on 2016-10-19.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC