National Provider Identifier

Jacqueline M Cochran, SLP-CCC

Jacqueline M Cochran, SLP-CCC is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Jamestown, NY and a listed phone number of (716) 665-1166.

NPI 1891055414Jamestown, NYSpeech-Language Pathologist

Profile Overview

NPI
1891055414
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 17, 2012
Last Updated
May 16, 2013

Practice Location

  • 774 Fairmount Ave
  • Jamestown, NY 14701-2609

Phone: (716) 665-1166

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1891055414
Entity Type
Individual
Last Name
Cochran
First Name
Jacqueline
Middle Name
M
Credential
SLP-CCC
Mailing Street Address
774 Fairmount Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2609
Mailing Country
US
Mailing Phone
(716) 665-1166
Mailing Fax
(866) 694-4979
Practice Street Address
774 Fairmount Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2609
Practice Country
US
Practice Phone
(716) 665-1166
Practice Fax
(866) 694-4979
Enumeration Date
May 17, 2012
Last Updated
May 16, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)