| Laura B. Cowan Phd, Llc | |
|
500 3rd St Suite319b Wausau WI 54403-4885 | |
| (715) 848-0202 | |
| Not Available |
| Full Name | Laura B. Cowan Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 500 3rd St, Wausau, Wisconsin |
| Authorized Official Name and Position | Laura B Cowan (PSYCHOLOGIST) |
| Authorized Official Contact | 7158480202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura B. Cowan Phd, Llc 500 3rd St Suite319b Wausau WI 54403-4885 Ph: (715) 848-0202 | Laura B. Cowan Phd, Llc 500 3rd St Suite319b Wausau WI 54403-4885 Ph: (715) 848-0202 |
| NPI Number | 1588959571 |
|---|---|
| Provider Enumeration Date | 06/17/2011 |
| Last Update Date | 06/27/2011 |
| Medicare PECOS PAC ID | 4880862119 |
|---|---|
| Medicare Enrollment ID | O20110712000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588959571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2859-057 (Wisconsin) | Primary |
| Provider Name | Laura B Cowan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497047799 PECOS PAC ID: 4688842917 Enrollment ID: I20110712000685 |
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