Provider Demographics
NPI:1427355197
Name:COBBINS, CHARLES JR
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:
Last Name:COBBINS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 MAY LN
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-5627
Mailing Address - Country:US
Mailing Address - Phone:918-914-9559
Mailing Address - Fax:
Practice Address - Street 1:1242 MAY LN
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-5627
Practice Address - Country:US
Practice Address - Phone:918-914-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst