| Cosgrove Psychiatry | |
|
785 N Dean Rd Ste 300 Auburn AL 36830-4034 | |
| (334) 734-5007 | |
| Not Available |
| Full Name | Cosgrove Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 785 N Dean Rd Ste 300, Auburn, Alabama |
| Authorized Official Name and Position | Coleman Cosgrove (CEO) |
| Authorized Official Contact | 3347345007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosgrove Psychiatry 785 N Dean Rd Ste 300 Auburn AL 36830-4034 Ph: () - | Cosgrove Psychiatry 785 N Dean Rd Ste 300 Auburn AL 36830-4034 Ph: (334) 734-5007 |
| NPI Number | 1053032532 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8729440805 |
|---|---|
| Medicare Enrollment ID | O20230822001997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053032532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Coleman Kidd Cosgrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659877967 PECOS PAC ID: 9436496585 Enrollment ID: I20220202000427 |
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