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NPI Code Detail

MEDICARE: LYDIA COTCH MA

MEDICARE:   LYDIA  COTCH  MA
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
1106H00000XMarriage & Family Therapist4225MN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1104307974
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDIA COTCH MA
Provider Business Mailing Address
First Line : 150 3RD AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2557
Country : US
Telephone Number : 651-472-5915
Fax Number :
Provider Business Practice Location Address
First Line : 150 3RD AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2557
Country : US
Telephone Number : 651-472-5915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 01/20/2026

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Directions to “ LYDIA COTCH MA” Practice Location

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