Provider Demographics
NPI:1134208085
Name:COCHRAN, KATRINA ANNE (PH D)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:ANNE
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:DR
Other - First Name:KATRINA
Other - Middle Name:ANNE
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PH D
Mailing Address - Street 1:4140 W MEMORIAL RD
Mailing Address - Street 2:PLAZA, SUITE 221
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8366
Mailing Address - Country:US
Mailing Address - Phone:405-755-5801
Mailing Address - Fax:405-755-5949
Practice Address - Street 1:4140 W MEMORIAL RD
Practice Address - Street 2:PLAZA, SUITE 221
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8366
Practice Address - Country:US
Practice Address - Phone:405-755-5801
Practice Address - Fax:405-755-5949
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK506103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist