Provider Demographics
NPI:1831730332
Name:COCHRAN, CINDY LYNN (CCSH,RPSGT,RST)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LYNN
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:CCSH,RPSGT,RST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 RIGSBY RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37321-6445
Mailing Address - Country:US
Mailing Address - Phone:423-716-2546
Mailing Address - Fax:
Practice Address - Street 1:110 DUNHILL PL NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37311-3866
Practice Address - Country:US
Practice Address - Phone:423-476-2212
Practice Address - Fax:423-476-7022
Is Sole Proprietor?:No
Enumeration Date:2019-10-05
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other