Organization
DAVID M. COWAN, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL COWAN PH.D. (OWNER)
(248) 745-0425
Entity
Organization
Contact information
Practice address
43902 WOODWARD AVE, SUITE 116, BLOOMFIELD HILLS, MI 48302-5011
(248) 745-0425
(248) 745-0536
Mailing address
43902 WOODWARD AVE, SUITE 116, BLOOMFIELD HILLS, MI 48302-5011
(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
—
00836270723200
LIBERTY MUTUAL
MI
01
—
037721
VALUE OPTIONS
MI
01
—
099023
UNITED HEALTHCARE
MI
01
—
1062699
IHP
MI
01
—
126823
CARE CHOICES
MI
01
—
2107494
CIGNA
MI
01
—
2119722934101
BEECH STREET
MI
01
—
47988
HEALTH ALLIANCE PLAN
MI
01
—
9309
CAPE HEALTH PLAN
MI
01
—
BM630101
MCARE
MI
01
—
P83423
BLUE CARE NETWORK
MI
Enumeration date
06/20/2007
Last updated
10/27/2007
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