MEDICARE: DR. REBECCA COBB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LF60471759	WA

General Provider Information

NPI Number	:	1427500016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA COBB

Provider Business Mailing Address
First Line	:	2110 W DRAVUS ST
Second Line	:	1
City	:	SEATTLE
State	:	WA
Zip	:	98199-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 W DRAVUS ST
Second Line	:	1
City	:	SEATTLE
State	:	WA
Zip	:	98199-2445
Country	:	US
Telephone Number	:	818-424-5528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2016
Last Update Date	:	10/29/2016

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Directions to “ DR. REBECCA COBB ” Practice Location

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