Individual
MR. JAMES COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 EISENHOWER BLVD STE 106, JOHNSTOWN, PA 15904-3200
(814) 266-5238
Mailing address
165 STATE ST, JOHNSTOWN, PA 15905-2825
(814) 255-4904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002187L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001512470
—
PA
Enumeration date
01/02/2007
Last updated
07/08/2007
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