Provider Demographics
NPI:1609945823
Name:COWAN, DEBORAH D (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:COWAN
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 CONTEMPO AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5311
Mailing Address - Country:US
Mailing Address - Phone:318-410-9095
Mailing Address - Fax:318-410-9561
Practice Address - Street 1:107 CONTEMPO AVE
Practice Address - Street 2:STE 3
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5311
Practice Address - Country:US
Practice Address - Phone:318-410-9095
Practice Address - Fax:318-410-9561
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3564231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist