Provider Demographics
NPI:1871984856
Name:COX, ROBERT GREGORY (LMFT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:GREGORY
Last Name:COX
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S AIRPORT WAY
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8426
Mailing Address - Country:US
Mailing Address - Phone:415-625-3112
Mailing Address - Fax:
Practice Address - Street 1:401 S AIRPORT WAY
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-8426
Practice Address - Country:US
Practice Address - Phone:650-219-9487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110959106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist