Doctor Name: | ANGELA COWAN |
NPI Number: | 1073927059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ME |
License Number: | 17904 |
Business Practice Address: | 13101 S Penn Ave Ste 9 Oklahoma City, OK - 731704928 |
Business Phone Number: | 4058093542 |
Business Fax Number: | |
Mailing Address: | 140 Marilyn Ave, EDMOND |
State: | OK |
Postal Code: | 730134440 |
Phone Number: | 4055681083 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 06/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 17904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |