Provider Demographics
NPI:1154472223
Name:COCHRAN, JENNIFER MCDOWELL (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:MCDOWELL
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 CHAPEL CT
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-7653
Mailing Address - Country:US
Mailing Address - Phone:601-310-1820
Mailing Address - Fax:
Practice Address - Street 1:3 CHAPEL CT
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7653
Practice Address - Country:US
Practice Address - Phone:601-310-1820
Practice Address - Fax:601-758-0982
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3149235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist