Provider Demographics
NPI:1740355585
Name:COCHRAN, ALICE ANTHONY (MA)
Entity type:Individual
Prefix:MISS
First Name:ALICE
Middle Name:ANTHONY
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4447 E. CESAR CHAVEZ BLVD
Mailing Address - Street 2:4447 E. CESAR CHAVEZ BLVD
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702
Mailing Address - Country:US
Mailing Address - Phone:559-600-7144
Mailing Address - Fax:
Practice Address - Street 1:4447 E. CESAR CHAVEZ BLVD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702
Practice Address - Country:US
Practice Address - Phone:559-600-7144
Practice Address - Fax:559-600-9171
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA134045106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist