Cochran, Amanda

Cochran, Amanda is an individual health care provider with primary practice located at 713 E Shotwell St , Bainbridge GA 39819-4063. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cochran, Amanda can be contacted via phone (229) 246-4088.

Contact Information

Primary practice address
713 E Shotwell St Bainbridge GA 39819-4063
Phone: (229) 246-4088
Fax: (229) 243-0200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004486 Georgia

Profile Details

NPI number 1174583819
LBN Legal business name Cochran, Amanda
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174583819 NPPES
Georgia MEDICAID 00835601A

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