Provider Demographics
NPI:1366493967
Name:COWLES, HANNAH BETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:BETH
Last Name:COWLES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 STRAWBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1769
Mailing Address - Country:US
Mailing Address - Phone:317-227-2550
Mailing Address - Fax:
Practice Address - Street 1:701 LANSDOWNE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-2248
Practice Address - Country:US
Practice Address - Phone:317-227-2526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INF1615Medicaid