Individual
DR. JUDY A MCCOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22811 GREATER MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-3988
Mailing address
22811 GREATER MACK AVE, SUITE L-3, SAINT CLAIR SHORES, MI 48080-2021
(586) 777-3988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301008870
PSYCHOLOGIST LICENSE
MI
01
—
680EO45650
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/30/2007
Last updated
07/08/2007
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