THOMAS PATRICK COTHRAN — Medicare Enrolled Provider (PRACTITIONER - CLINICAL PSYCHOLOGIST, IL)
THOMAS PATRICK COTHRAN — Medicare Enrolled Provider (PRACTITIONER - CLINICAL PSYCHOLOGIST, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: THOMAS PATRICK COTHRAN; Type: Individual; NPI: 1003197856.
| Name | THOMAS PATRICK COTHRAN |
|---|---|
| Type | Individual |
| NPI | 1003197856 |
| Provider type | PRACTITIONER - CLINICAL PSYCHOLOGIST |
| State | IL |
| Enrollment ID | I20250121000888 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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