| Doctor Name: | MARY SIMONETTI COWGILL |
| NPI Number: | 1396931713 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | PS-005070-L |
| Business Practice Address: | 595 Bethlehem Pike Suite 101 Montgomeryville, PA - 189369710 |
| Business Phone Number: | 2152573643 |
| Business Fax Number: | 2152573643 |
| Mailing Address: | 595 Bethlehem Pike, Suite 101 MONTGOMERYVILLE |
| State: | PA |
| Postal Code: | 189369710 |
| Phone Number: | 2152573643 |
| Fax Number: | 2152573643 |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS-005070-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |