Provider Demographics
NPI:1366427478
Name:COWPERTHWAITE, ROBYN (MD)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:COWPERTHWAITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 MEMORIAL ROAD SUITE 503
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73151
Mailing Address - Country:US
Mailing Address - Phone:405-254-3131
Mailing Address - Fax:405-254-3133
Practice Address - Street 1:4200 W MEMORIAL RD STE 503
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8305
Practice Address - Country:US
Practice Address - Phone:405-254-3131
Practice Address - Fax:405-254-3133
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK249872084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry