Provider Demographics
NPI:1265762884
Name:COX, JOSEPH CODY (LICENSED CLINICAL SO)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CODY
Last Name:COX
Suffix:
Gender:M
Credentials:LICENSED CLINICAL SO
Other - Prefix:
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Mailing Address - Street 1:2942 NE ORLIE DR
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:OK
Mailing Address - Zip Code:73121-2436
Mailing Address - Country:US
Mailing Address - Phone:405-219-2529
Mailing Address - Fax:855-704-1609
Practice Address - Street 1:3416 NW 19TH
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-3830
Practice Address - Country:US
Practice Address - Phone:405-702-4902
Practice Address - Fax:405-702-4902
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200288520AMedicaid