Individual
DR. JESSICA ANNE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Mailing address
3616 E CHERRY ST, SEATTLE, WA 98122-5244
(206) 953-9988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61101055
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/30/2020
Last updated
01/19/2021
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