Cockrum, Alicia Dawn
Cockrum, Alicia Dawn is an sole proprietor health care provider with primary practice located at 255 W Napa St Ste K , Sonoma CA 95476-6546. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Cockrum, Alicia Dawn can be contacted via phone (707) 816-2400.Contact Information
Primary practice address
255 W Napa St Ste K
Sonoma CA 95476-6546
Phone: (707) 816-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY23519 | California |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1962737759 |
|---|---|
| LBN Legal business name | Cockrum, Alicia Dawn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2009 |
| Last updated | Dec 12th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962737759 | NPPES |
| California | MEDICAID | 268623 |
Popular Providers
-
Moore, Howard E
28175 Haggerty Rd , Novi MI 48377-2903 -
Luhr, Judith
137 Broadway Suite D-2, Amityville NY 11701-2731 -
Pillay, Sita-Marie Kalyani
17000 Arnold Dr , Sonoma CA 95476-3290 -
Silver, Gerald M.
454 W Napa St , Sonoma CA 95476-6519 -
Riggs, Vanessa
17850 Railroad Ave , Sonoma CA 95476-3703 -
Forester, Cressida A
710 West Napa St Ste 2, Sonoma CA 95476 -
Douthit, Stephen William
814 Broadway , Sonoma CA 95476 -
Warnock-Brooks, Susan Eleanor
793 1St St W , Sonoma CA 95476-7036