Organization
GREGORY COWAN LLC
Active
Organization
GREGORY COWAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SCOTT COWAN PH.D. (PSYCHOLOGIST)
(715) 393-3953
Entity
Organization
Contact information
Practice address
3301 CRANBERRY BLVD, FLOOR 2, WESTON, WI 54476-5216
(715) 393-3953
Mailing address
1408 WOODLAND RIDGE RD, WAUSAU, WI 54403-2362
(715) 675-2183
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2343-57
WI
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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