Provider Demographics
NPI:1972068997
Name:COWLEY, CLAIRE ALEXANDRA
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ALEXANDRA
Last Name:COWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 ROIA LN
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-5335
Mailing Address - Country:US
Mailing Address - Phone:207-922-8022
Mailing Address - Fax:
Practice Address - Street 1:205 GRANADA ST
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-7715
Practice Address - Country:US
Practice Address - Phone:805-482-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12908235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist