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Individual

DR. KATIE LARYN COWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
951 HARMONY RD, SUITE 107, EATONTON, GA 31024-9601
(404) 931-6555
(404) 393-9635
Mailing address
1300 GRANITE COVE DR, GREENSBORO, GA 30642-7000
(404) 931-6555
(404) 393-9635

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003177
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003106637A
GA
Enumeration date
08/11/2007
Last updated
10/19/2016
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