Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 6301005488 | MI |
N | 103TC0700X | Clinical Psychologist | 6301005488 | MI |
N | 102L00000X | Psychologist | 6301005488 | MI |
N | 103T00000X | Psychologist | 6301005488 | MI |
Y | 103G00000X | Clinical Psychologist | 6301005488 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301005488 | MI |
N | 103TF0200X | Forensic Psychologist | 6301005488 | MI |
N | 103TH0004X | Health Psychologist | 6301005488 | MI |
N | 103TR0400X | Rehabilitation Psychologist | 6301005488 | MI |
NPI | 1124106398 |
---|---|
Provider Name | Dr. David Michael Cowan |
First Address | Pontiac, MI 48343-0022 |
Second Address | Bloomfield Hills, MI 48302-5021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 11/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
032531000 | MAGELLAN (01) | |
037721 | VALUE OPTIONS (01) | |
099023 | MANAGED HEALTH NETWORK (01) | |
1062699 | INTEGRATED HEALTH PLAN (01) | |
1235334939 | GROUP NPI (01) | MI |
2107494 | CIGNA HEALTHCARE (01) | |
2119722934101 | BEECH STREET CORP (01) | |
47988 | HEALTH ALLIANCE PLAN HAP (01) | |
680F348600 | BLUE CROSS (01) | MI |
9309 | CAPE HEALTH PLAN (01) | |
BM630101 | MCARE (01) | |
P83423 | BLUE CARE NETWORK BCN (01) | |
R67221 | (02) |