Provider Demographics
NPI:1225272180
Name:COCHRAN, DANA L (MA, CCC-A/SLP)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:L
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MA, CCC-A/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 E 82ND ST
Mailing Address - Street 2:APT. 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3300
Mailing Address - Country:US
Mailing Address - Phone:917-673-3030
Mailing Address - Fax:
Practice Address - Street 1:238 E 82ND ST
Practice Address - Street 2:APT. 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-3300
Practice Address - Country:US
Practice Address - Phone:917-673-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016070235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist