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NPI Code Detail

MEDICARE: MRS. CHRISTINE ELIZABETH COCHRAN MA., CCC-SLP

MEDICARE:  MRS. CHRISTINE ELIZABETH COCHRAN  MA., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist108220TX

General Provider Information

NPI Number : 1871275404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE ELIZABETH COCHRAN MA., CCC-SLP
Provider Business Mailing Address
First Line : 4321 LANARK AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-5321
Country : US
Telephone Number : 956-369-0223
Fax Number :
Provider Business Practice Location Address
First Line : 3408 CLAYTON RD E
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7382
Country : US
Telephone Number : 956-369-0223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2023
Last Update Date : 08/03/2023

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Directions to “ MRS. CHRISTINE ELIZABETH COCHRAN MA., CCC-SLP” Practice Location

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