Provider Demographics
NPI:1467659151
Name:COCHRAN, LYNLEY (MA, CCC, SLP)
Entity type:Individual
Prefix:MRS
First Name:LYNLEY
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:MS
Other - First Name:LYNLEY
Other - Middle Name:
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, CCC, SLP
Mailing Address - Street 1:12073 EDDLESTON DR
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1307
Mailing Address - Country:US
Mailing Address - Phone:818-360-1050
Mailing Address - Fax:
Practice Address - Street 1:4675 VIA LOS SANTOS
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1346
Practice Address - Country:US
Practice Address - Phone:805-637-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist