Jasna Del Carmen Cowan, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Pacifica, CA
NPI 1245463256 · NPPES record last updated Aug 25, 2009
Key facts
- NPI
- 1245463256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 13121 (CA)
- Practice address
- 640 Crespi Dr
Pacifica, CA 94044-3427 - Phone
- (650) 438-4631
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13121 | CA | Yes |
Addresses
Primary practice location
640 Crespi Dr
Pacifica, CA 94044-3427
Mailing address
1155 Fernandez Way
Pacifica, CA 94044-3330
Phone (650) 438-4631
Other providers in Pacifica, CA
- Coastside Physical Therapy
- Sophia Coo
- Alexandra Cook-Milligan
- Thao Cook
- Karen Corzine
- Ora Mayana Crutcher
- Miriam Martin Cruz
- Paulino S Cruz
- Victoria T Cruz
- Philip Cusick
All providers in Pacifica, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.