Provider Demographics
NPI:1447425442
Name:COWELL, JOSEPH ROSCOE (MA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ROSCOE
Last Name:COWELL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2723
Mailing Address - Country:US
Mailing Address - Phone:610-873-1010
Mailing Address - Fax:610-873-9307
Practice Address - Street 1:520 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2723
Practice Address - Country:US
Practice Address - Phone:610-873-1010
Practice Address - Fax:610-873-9307
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006101L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical