| Kenneth J. Cochrane, Ph.d., Llc | |
|
5635 Celebration Way Leesburg FL 34748-8379 | |
| (352) 406-5937 | |
| (407) 699-5081 |
| Full Name | Kenneth J. Cochrane, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5635 Celebration Way, Leesburg, Florida |
| Authorized Official Name and Position | Kenneth James Cochrane (MANAGER/OWNER) |
| Authorized Official Contact | 3524065937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J. Cochrane, Ph.d., Llc 5635 Celebration Way Leesburg FL 34748-8379 Ph: (352) 406-5937 | Kenneth J. Cochrane, Ph.d., Llc 5635 Celebration Way Leesburg FL 34748-8379 Ph: (352) 406-5937 |
| NPI Number | 1619251287 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619251287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8381 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | 009300 (New York) | Secondary |
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