Individual
MRS. CYNTHIA DIANE COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 HARDY ROAD, MISSISSIPPI STATE, MS 39762
(662) 325-0876
Mailing address
40257 SELF RD, HAMILTON, MS 39746-8726
(662) 251-8681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4500
MS
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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