Doctor Name: | DR. NANCY ELLEN COCHRAN |
NPI Number: | 1164646758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D |
License Number: | 071.008017 |
Business Practice Address: | 507 Thornhill Drive Suite A Carol Stream, IL - 60188 |
Business Phone Number: | 6307529750 |
Business Fax Number: | 6307529768 |
Mailing Address: | 1585 Woodcrest Court, AURORA |
State: | IL |
Postal Code: | 605021324 |
Phone Number: | 6303759004 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071.008017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |