Active NPIIndividual providerSole proprietor

Krista J Cowan, PHD

Clinical Neuropsychologist in Peoria, Illinois

NPI Number1225936065
Practice location
1001 Main St Ste 1A, Peoria, IL 61606-1907
Fax
—
Last updated
October 30, 2026

Krista Joy Cowan is a Clinical Neuropsychologist based in Peoria, IL. Krista Joy Cowan practices in Peoria, IL and has the professional credentials of PHD. The NPI Number for Krista Joy Cowan is 1225936065. The current practice location address for Krista Joy Cowan is 1001 Main St Ste 1A, Peoria, IL 61606-1907 and can be reached out via phone at 309-655-2000.

Provider Profile Details

NPI Number
1225936065
Provider Name
Krista Joy Cowan
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St Ste 1A, Peoria, IL 61606-1907
Phone Number
309-655-2000
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 30, 2026
Last Update Date
October 30, 2026
Certification Date
October 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 Main St Ste 1A
Peoria, IL 61606-1907
City
Peoria
Zip
61606-1907
Phone Number
309-655-2000
Peoria, IL 61606Get directions →

Provider Business Mailing Address Details

Address
12 Cushing St
Salem, MA 01970-1508
City
Salem
State
MA
Zip
01970-1508
Phone Number
949-351-4405

License Information

License State
IL
Taxonomy
Clinical Neuropsychologist · 103G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Krista J Cowan, PHD?

The NPI number of Krista J Cowan, PHD is 1225936065. It was assigned on October 30, 2026 and is currently active in the NPPES registry.

What is the specialty of Krista J Cowan, PHD?

Krista J Cowan, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X).

Where does Krista J Cowan, PHD practice?

The practice location is 1001 Main St Ste 1A, Peoria, IL 61606-1907. The office can be reached at 309-655-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225936065 directly on the NPPES registry website.

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