Individual
DR. DAVID MICHAEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
43902 WOODWARD AVENUE, SUITE 116, BLOOMFIELD HILLS, MI 48302-5021
(248) 745-0425
(248) 745-0536
Mailing address
PO BOX 430022, PONTIAC, MI 48343-0022
(248) 745-0425
(248) 745-0536
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301005488
MI
103T00000X
Psychologist
6301005488
MI
103TC0700X
Clinical Psychologist
Primary
6301005488
MI
103TF0200X
Forensic Psychologist
6301005488
MI
103TH0004X
Health Psychologist
6301005488
MI
103TR0400X
Rehabilitation Psychologist
6301005488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032531000
MAGELLAN
—
01
—
037721
VALUE OPTIONS
—
01
—
099023
MANAGED HEALTH NETWORK
—
01
—
1062699
INTEGRATED HEALTH PLAN
—
01
—
1235334939
GROUP NPI
MI
01
—
2107494
CIGNA HEALTHCARE
—
01
—
2119722934101
BEECH STREET CORP
—
01
—
47988
HEALTH ALLIANCE PLAN HAP
—
01
—
680F348600
BLUE CROSS
MI
01
—
9309
CAPE HEALTH PLAN
—
01
—
BM630101
MCARE
—
01
—
P83423
BLUE CARE NETWORK BCN
—
Enumeration date
11/02/2006
Last updated
04/11/2016
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