Basic Information
| Provider Information | |||||||||
| NPI: | 1023149861 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHOCRON | ||||||||
| FirstName: | LUCIEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DR., LMFT, PSY.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14416 HAMLIN ST | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914011486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188226550 | ||||||||
| FaxNumber: | 3102731818 | ||||||||
| Practice Location | |||||||||
| Address1: | 14416 HAMLIN ST | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914011486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183615030 | ||||||||
| FaxNumber: | 8183657707 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 01/15/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | PBS32170 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 103T00000X | MFC50440 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | 106H00000X | MFC50440 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.