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1467659151 NPI number — LYNLEY COCHRAN MA, C.C.C., SLP

NPI Number: 1467659151
Health Care Provider/Practitioner: LYNLEY COCHRAN MA, C.C.C., SLP

Information about “1467659151” NPI (LYNLEY COCHRAN MA, C.C.C., SLP) exists in 1467659151 in HTML format HTML  |  1467659151 in plain Text format TXT  |  1467659151 in PDF (Portable Document Format) PDF  |  1467659151 in an XML format XML  formats.

NPI Number : 1467659151 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467659151",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COCHRAN",
    "FirstName": "LYNLEY",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA, C.C.C., SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COCHRAN",
    "OtherFirstName": "LYNLEY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MA, C.C.C., SLP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "12073 EDDLESTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTER RANCH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91326-1307",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-360-1050",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4675 VIA LOS SANTOS",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA BARBARA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93111-1346",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-637-5272",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2007",
    "LastUpdateDate": "01/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "4999",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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