Provider Demographics
NPI:1336290618
Name:HELEN M COBLE PHD PC
Entity Type:Organization
Organization Name:HELEN M COBLE PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:COBLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-517-1462
Mailing Address - Street 1:PO BOX 10682
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-2682
Mailing Address - Country:US
Mailing Address - Phone:541-517-1462
Mailing Address - Fax:541-688-1588
Practice Address - Street 1:767 WILLAMETTE ST
Practice Address - Street 2:SUITE 301
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2952
Practice Address - Country:US
Practice Address - Phone:541-517-1462
Practice Address - Fax:541-688-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty