Provider Demographics
NPI:1538461652
Name:COCHRAN-HARROW, DONNA L (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:L
Last Name:COCHRAN-HARROW
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 PAVILION CT
Mailing Address - Street 2:STE F
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6790
Mailing Address - Country:US
Mailing Address - Phone:404-932-7853
Mailing Address - Fax:678-583-6010
Practice Address - Street 1:1637 ATHENS HWY
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-1768
Practice Address - Country:US
Practice Address - Phone:770-452-8509
Practice Address - Fax:866-261-2420
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0050881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical