Organization Active NPI

Laura B. Cowan PHD, LLC

  • Clinical Psychologist
  • Wausau, WI
National Provider Identifier
1588959571
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2859-057 Issued in WI
Legal business name
LAURA B. COWAN PHD, LLC
Practice address
500 3Rd St
Suite319B
Wausau, WI 54403-4885
Phone
(715) 848-0202
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Dr. Laura B Cowan, PHD
Title
Psychologist
Phone
(715) 848-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2859-057 WI Primary

Addresses

Primary practice location

500 3Rd St
Suite319B
Wausau, WI 54403-4885

Mailing address

500 3Rd St
Suite319B
Wausau, WI 54403-4885
Phone (715) 848-0202

National Provider Directory

National Provider Directory

Locations

300 N 3rd St
Ste 306
Wausau, WI 54403
Phone (715) 841-0114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1588959571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 3RD ST",
            "address_2": "SUITE319B",
            "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": "SUITE319B",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034885",
            "telephone_number": "715-848-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA B. COWAN PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "715-848-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2859-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.