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NPI Code Detail

MEDICARE: STEPHANIE L PINCH COWLES PSYD, M.ED

MEDICARE: STEPHANIE L PINCH COWLES PSYD, M.ED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2103TC0700XClinical PsychologistPSY.0006555CO

General Provider Information

NPI Number : 1073001764
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE L PINCH COWLES PSYD, M.ED
Provider Business Mailing Address
First Line : 950 N LOGAN ST
Second Line :
City : DENVER
State : CO
Zip : 80203-3163
Country : US
Telephone Number : 734-359-6525
Fax Number :
Provider Business Practice Location Address
First Line : 950 N LOGAN ST
Second Line :
City : DENVER
State : CO
Zip : 80203-3163
Country : US
Telephone Number : 734-359-6525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 12/10/2024

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