MEDICARE: EVELYN SCHMECHTIG COCHRAN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC33292	CA

General Provider Information

NPI Number	:	1609933290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN SCHMECHTIG COCHRAN LMFT

Provider Business Mailing Address
First Line	:	30302 MERIDIEN CIR
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-1547
Country	:	US
Telephone Number	:	510-979-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	39899 BALENTINE DR STE 200
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-5361
Country	:	US
Telephone Number	:	510-979-0220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	01/29/2024

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