Provider Demographics
NPI:1962195842
Name:COWSER, BERDIE L (PHD)
Entity type:Individual
Prefix:DR
First Name:BERDIE
Middle Name:L
Last Name:COWSER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9735 W FOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3349
Mailing Address - Country:US
Mailing Address - Phone:414-241-0835
Mailing Address - Fax:
Practice Address - Street 1:8726 W MILL RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53225-1838
Practice Address - Country:US
Practice Address - Phone:414-241-0835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator