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Individual

DR. DANIEL P COWAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
12340 BASS LAKE RD, CHARDON, OH 44024-8327
(440) 279-2413
Mailing address
PO BOX 22705, BEACHWOOD, OH 44122-0705
(440) 279-2413
(440) 286-4830

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5513
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2149231
OH
Enumeration date
12/07/2005
Last updated
07/08/2007
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