Provider Demographics
NPI:1740537273
Name:COCANOUR, AMY ANN (MS)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ANN
Last Name:COCANOUR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:ANN
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1664 N VIRGINIA MAIL STOP 152
Mailing Address - Street 2:REDFIELD MEDICAL BLDG
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0152
Mailing Address - Country:US
Mailing Address - Phone:775-784-4887
Mailing Address - Fax:775-784-4095
Practice Address - Street 1:1664 N. VIRGINIA MAIL STOP 152
Practice Address - Street 2:REDFIELD MEDICAL BLDG
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0152
Practice Address - Country:US
Practice Address - Phone:775-784-4887
Practice Address - Fax:775-784-4887
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVSP1351OtherBOARD OF EXAMINERS