Provider Demographics
NPI:1922840727
Name:MCCOWN, CLAIRE (PHD, LCP, MPS)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:MCCOWN
Suffix:
Gender:F
Credentials:PHD, LCP, MPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 SANTA ROSA RD RM 105
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5105
Mailing Address - Country:US
Mailing Address - Phone:804-673-0100
Mailing Address - Fax:804-673-8054
Practice Address - Street 1:1503 SANTA ROSA RD RM 105
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5105
Practice Address - Country:US
Practice Address - Phone:804-673-0100
Practice Address - Fax:804-673-8054
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810008533103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical