Healthcare Provider Details

I. General information

NPI: 1952504227
Provider Name (Legal Business Name): SALENE J COWHER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SALENE OSBORN

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 TIMBER DR
CAMBRIDGE SPRINGS PA
16403-9713
US

IV. Provider business mailing address

1745 TIMBER DR
CAMBRIDGE SPRINGS PA
16403-9713
US

V. Phone/Fax

Practice location:
  • Phone: 814-398-8412
  • Fax:
Mailing address:
  • Phone: 814-398-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC001020
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number432
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: