Provider Demographics
NPI:1316097488
Name:COWLEY, JAMES ARTHUR SR (MSW CSW SAP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:COWLEY
Suffix:SR
Gender:M
Credentials:MSW CSW SAP
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Mailing Address - Street 1:29143 EVERGREEN RD
Mailing Address - Street 2:#16
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076
Mailing Address - Country:US
Mailing Address - Phone:248-842-8223
Mailing Address - Fax:248-569-7626
Practice Address - Street 1:17352 W 12 MILE RD
Practice Address - Street 2:BURDETTE & DOSS CLINIC
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076
Practice Address - Country:US
Practice Address - Phone:248-559-0730
Practice Address - Fax:248-569-7626
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-10-30
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Provider Licenses
StateLicense IDTaxonomies
MI68010143301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M67590Medicare PIN