| Teresa Cochran Phd Pllc | |
|
45 S Orleans Rd Orleans MA 02653-2422 | |
| (508) 246-7618 | |
| Not Available |
| Full Name | Teresa Cochran Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 45 S Orleans Rd, Orleans, Massachusetts |
| Authorized Official Name and Position | Teresa Cochran (PSYCHOLOGIST) |
| Authorized Official Contact | 5082467618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Cochran Phd Pllc Po Box 129 East Orleans MA 02643-0129 Ph: (508) 246-7618 | Teresa Cochran Phd Pllc 45 S Orleans Rd Orleans MA 02653-2422 Ph: (508) 246-7618 |
| NPI Number | 1710278205 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 4789860529 |
|---|---|
| Medicare Enrollment ID | O20150421000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710278205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9934 (Massachusetts) | Primary |
| Provider Name | Teresa Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053527788 PECOS PAC ID: 5294876215 Enrollment ID: I20150421000210 |
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