Provider Demographics
NPI:1225071228
Name:COX, DAVID R (PHD, ABPP)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:COX
Suffix:
Gender:M
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 MARKET ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4055
Mailing Address - Country:US
Mailing Address - Phone:919-933-0600
Mailing Address - Fax:919-338-8136
Practice Address - Street 1:600 MARKET ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4055
Practice Address - Country:US
Practice Address - Phone:919-933-0600
Practice Address - Fax:919-338-8136
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1218103T00000X, 103TC0700X, 103G00000X, 103TR0400X, 103TF0200X
FLPY4372103T00000X, 103TC0700X, 103G00000X, 103TR0400X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
S27757Medicare UPIN
FL59553ZMedicare ID - Type Unspecified