Cothran, Thomas

Cothran, Thomas is an individual health care provider with primary practice located at 1000 Lake St Apt 1217 , Oak Park IL 60301-1523. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Cothran, Thomas can be contacted via phone (312) 217-3146.

Contact Information

Primary practice address
1000 Lake St Apt 1217 Oak Park IL 60301-1523
Phone: (312) 217-3146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071.010299 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.010299 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20043418A Indiana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20043418A Indiana

Profile Details

NPI number 1003197856
LBN Legal business name Cothran, Thomas
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Nov 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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