Organization
LIFEWORKS PSYCHOTHERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA S COCHRAN PSY.D. (CLINICAL PSYCHOLOGIST)
(847) 494-3650
Entity
Organization
Contact information
Practice address
8707 SKOKIE BLVD, STE 216, SKOKIE, IL 60077-2269
(847) 568-1100
Mailing address
8707 SKOKIE BLVD, STE 216, SKOKIE, IL 60077-2269
(847) 568-1100
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
071-005305
IL
103TC0700X
Clinical Psychologist
Primary
071-004558
IL
1041C0700X
Clinical Social Worker
149-006093
IL
Other
Enumeration date
01/20/2012
Last updated
06/25/2012
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