Provider Demographics
NPI:1467455105
Name:COWGILL, SUSAN P (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:P
Last Name:COWGILL
Suffix:
Gender:F
Credentials:MA, 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:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948-0264
Mailing Address - Country:US
Mailing Address - Phone:409-787-3388
Mailing Address - Fax:409-787-3238
Practice Address - Street 1:HIGHWAY 87 NORTH
Practice Address - Street 2:HEMPHILL HEARING CENTER
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-0264
Practice Address - Country:US
Practice Address - Phone:409-787-3388
Practice Address - Fax:409-787-3238
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50331237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX514094Medicare ID - Type UnspecifiedAUDIOLOGIST