Laura B Cowan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2859 - 057 Issued in WI

Practice address

500 3Rd St
Suite 319B
Wausau, WI 54403-4885

Phone

(715) 848-0202

NPI assigned

May 5, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gregory Cowan LLC

  • Adult Mental Health Clinic/Center
  • Weston, WI
  • NPI 1538453584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1497047799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD ST",
            "address_2": "SUITE 319B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034885",
            "telephone_number": "715-848-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 3RD ST",
            "address_2": "SUITE 319B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034885",
            "telephone_number": "715-848-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "LAURA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2859 - 057",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040711A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Joseph Cotter, APSW
• Counseling to Empower New Futures LLC
• Kimberly J Couri, D.O.
• Tracy L Cousins, M.D.
• Gregory S Cowan, PHD
• Sheila M Cox
• Rosanne Regina Cozzuol, LPN
• Cpi Wausau LLC
• Rhonda Cram, CADC III
• Russell W. Creel, NP

• Clinical Psychologist in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.