Provider Demographics
NPI:1396975694
Name:COGNOVA CONSULTING INC
Entity type:Organization
Organization Name:COGNOVA CONSULTING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOSCAVIO
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:770-893-3800
Mailing Address - Street 1:25 FOOTHILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:MARBLE HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30148-2261
Mailing Address - Country:US
Mailing Address - Phone:770-893-3800
Mailing Address - Fax:678-954-6617
Practice Address - Street 1:25 FOOTHILLS PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:MARBLE HILL
Practice Address - State:GA
Practice Address - Zip Code:30148-2261
Practice Address - Country:US
Practice Address - Phone:770-893-3800
Practice Address - Fax:678-954-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002403103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty