| Dr Elaine Cowen Llc | |
|
12 Stockton St Princeton NJ 08540-6813 | |
| (609) 970-8237 | |
| (609) 294-7172 |
| Full Name | Dr Elaine Cowen Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12 Stockton St, Princeton, New Jersey |
| Authorized Official Name and Position | Elaine R Cowen (OWNER) |
| Authorized Official Contact | 6099708237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elaine Cowen Llc 12 Stockton St Princeton NJ 08540-6813 Ph: (609) 970-8237 | Dr Elaine Cowen Llc 12 Stockton St Princeton NJ 08540-6813 Ph: (609) 970-8237 |
| NPI Number | 1124478896 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Medicare PECOS PAC ID | 0143516054 |
|---|---|
| Medicare Enrollment ID | O20160901000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124478896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26NC09233000 (New Jersey) | Primary |
| Provider Name | Elaine R Cowen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447477336 PECOS PAC ID: 9133354632 Enrollment ID: I20131107001570 |
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