Individual
BETHANY COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 W EMERALD ST STE 150, BOISE, ID 83704-4841
(208) 793-7006
Mailing address
749 E PARK BLVD APT 237, BOISE, ID 83712-7796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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