Doctor Name: | DR. JENNIFER VAN NOY COCHRAN |
NPI Number: | 1114906831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 70188 |
Business Practice Address: | 1611 S Green Rd Suite #035 South Euclid, OH - 441214128 |
Business Phone Number: | 2163823800 |
Business Fax Number: | 2163815198 |
Mailing Address: | 1611 S Green Rd, Suite #035 SOUTH EUCLID |
State: | OH |
Postal Code: | 441214128 |
Phone Number: | 2163823800 |
Fax Number: | 2163815198 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 70188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |