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Individual

DR. JAMES DARRELL COWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
5100 LOVERS LN, TRESTLEWOOD, BLDG. D, PORTAGE, MI 49002-1558
(269) 342-8847
(269) 388-2346
Mailing address
308 MONROE ST, KALAMAZOO, MI 49006-4436
(269) 344-0489

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006209
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11274166
CAQHPROVIDER ID
Enumeration date
11/07/2005
Last updated
07/08/2007
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