Individual
MS. BERYL ANN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,J.D.
Contact information
Practice address
20 BOW STREET, CONCORD, MA 01742
(678) 592-6368
Mailing address
1770 E CLIFTON RD NE, ATLANTA, GA 30307-1252
(678) 592-6368
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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