Individual
TERESA COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
45 S ORLEANS RD, ORLEANS, MA 02653-2422
(508) 246-7618
Mailing address
PO BOX 129, EAST ORLEANS, MA 02643-0129
(508) 246-7618
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
9934
MA
103T00000X
Psychologist
Primary
9934
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710278205
NPI PLLC
—
Enumeration date
05/16/2007
Last updated
02/03/2015
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