Provider Demographics
NPI:1447036926
Name:COCHRAN, ROBERT EUGENE
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:EUGENE
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12636 WILLIAMSBURG AVE NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8297
Mailing Address - Country:US
Mailing Address - Phone:330-418-5254
Mailing Address - Fax:
Practice Address - Street 1:12636 WILLIAMSBURG AVE NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8297
Practice Address - Country:US
Practice Address - Phone:330-418-5254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral