Provider Demographics
NPI:1407297336
Name:COGSWELL, PATRICIA E (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:COGSWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:979 S JESTER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-5934
Mailing Address - Country:US
Mailing Address - Phone:417-693-4098
Mailing Address - Fax:
Practice Address - Street 1:1525 E REPUBLIC RD
Practice Address - Street 2:STE A-105
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6527
Practice Address - Country:US
Practice Address - Phone:417-881-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor