Thomas Cothran
Clinical Psychologist
1000 Lake St Apt 1217
Oak Park
, Illinois 60301-1523
Thomas Cothran
Clinical Psychologist
1000 Lake St Apt 1217
Oak Park
, Illinois 60301-1523
(312) 217-3146
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Thomas Cothran
- 1000 Lake St Apt 1217
- Oak Park, IL
- Zip : 60301-1523
- Phone : (312) 217-3146
Second Address
- Thomas Cothran
- 1000 Lake St Apt 1217
- Oak Park, IL
- Zip : 60301-1523
- Phone : (312) 217-3146
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 071.010299 | IL |
| N | 103TC0700X | Clinical Psychologist | 071.010299 | IL |
| Y | 103G00000X | Clinical Psychologist | 20043418A | IN |
| Y | 103TC0700X | Clinical Psychologist | 20043418A | IN |
| N | 103G00000X | Clinical Psychologist | 071.010299 | IL |
| N | 103TC0700X | Clinical Psychologist | 071.010299 | IL |
| N | 103G00000X | Clinical Psychologist | 20043418A | IN |
| N | 103TC0700X | Clinical Psychologist | 20043418A | IN |
National Provider Identifier
| NPI | 1003197856 |
|---|---|
| Provider Name | Thomas Cothran |
| First Address | Oak Park, IL 60301-1523 |
| Second Address | Oak Park, IL 60301-1523 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2011 |
| Last Update Date | 05/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.