Alicia Dawn Cockrum, PSYD

NPI #1962737759 in Sonoma, California

Provider Information

NPI Number: 1962737759
Entity Type: Individual
Name: Alicia Dawn Cockrum, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Oct 12, 2009
Last Updated: Dec 12, 2018

Practice Location

Address: 255 W NAPA ST STE K
City: Sonoma
State: California
ZIP Code: 95476-6546
Phone: (707) 816-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Health — Health	103TH0004X
Psychologist - Family — Family	103TF0000X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Rehabilitation — Rehabilitation	103TR0400X
Psychologist	103T00000X	Primary

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