Individual
DR. CHANNING JOVI COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
5114 MEDICAL DR APT 2352, SAN ANTONIO, TX 78229-3878
(256) 651-0089
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11454015-2501
UT
Other
Enumeration date
03/12/2020
Last updated
01/08/2023
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