Individual
DR. LAURA B COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 3RD ST, SUITE 319B, WAUSAU, WI 54403-4885
(715) 848-0202
Mailing address
500 3RD ST, SUITE 319B, WAUSAU, WI 54403-4885
(715) 848-0202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040711A
IN
103TC0700X
Clinical Psychologist
Primary
2859 - 057
WI
Other
Enumeration date
05/05/2011
Last updated
08/23/2011
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