Provider Demographics
NPI:1568680015
Name:COWICK, PATRICIA GARAY (MFT)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:GARAY
Last Name:COWICK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CROW CANYON CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1953
Mailing Address - Country:US
Mailing Address - Phone:925-355-2525
Mailing Address - Fax:
Practice Address - Street 1:2 CROW CANYON CT
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1953
Practice Address - Country:US
Practice Address - Phone:925-355-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30680106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist