Provider Demographics
NPI:1568608354
Name:HULSE COWAN, MARIE A (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:A
Last Name:HULSE COWAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-4655
Mailing Address - Country:US
Mailing Address - Phone:856-853-9300
Mailing Address - Fax:856-461-5513
Practice Address - Street 1:29 S BROAD ST
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-4655
Practice Address - Country:US
Practice Address - Phone:856-853-9300
Practice Address - Fax:856-461-5513
Is Sole Proprietor?:No
Enumeration Date:2008-12-28
Last Update Date:2008-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJFI100148600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist