Individual
MS. REBECCA C COGWELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
959 N MAYFAIR RD, MCW PAIN MANAGEMENT CLINIC, MILWAUKEE, WI 53226-3465
(414) 955-7601
(414) 955-6020
Mailing address
959 N MAYFAIR RD, MCW PAIN MANAGEMENT CLINIC, MILWAUKEE, WI 53226-3465
(414) 955-7601
(414) 955-6020
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1542
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000108D
HUMANA
—
05
—
1386695435
—
WI
Enumeration date
05/13/2006
Last updated
09/20/2013
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