Provider Demographics
NPI:1659868784
Name:COWIN, CATHY (NCC, LPCMH)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:COWIN
Suffix:
Gender:F
Credentials:NCC, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 WILLOW CREEK LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3422
Mailing Address - Country:US
Mailing Address - Phone:302-235-2982
Mailing Address - Fax:
Practice Address - Street 1:3101 LIMESTONE RD STE B-4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2148
Practice Address - Country:US
Practice Address - Phone:302-217-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-14
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health