Provider Demographics
NPI:1881821676
Name:COWGILL, DEBRA D (MA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:D
Last Name:COWGILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 LOCUST ST S
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-9389
Mailing Address - Country:US
Mailing Address - Phone:330-854-5405
Mailing Address - Fax:330-854-5809
Practice Address - Street 1:2309 LOCUST ST S
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-9389
Practice Address - Country:US
Practice Address - Phone:330-854-5405
Practice Address - Fax:330-854-5809
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP2281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist