Provider Demographics
NPI:1861581308
Name:COX, RICK L (PSYD)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:L
Last Name:COX
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SUNRISE TER
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-8477
Mailing Address - Country:US
Mailing Address - Phone:775-867-4123
Mailing Address - Fax:775-575-0670
Practice Address - Street 1:158 S TAYLOR ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-3261
Practice Address - Country:US
Practice Address - Phone:775-867-4123
Practice Address - Fax:775-575-0670
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0436103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical