Basic Information
| Provider Information | |||||||||
| NPI: | 1194870543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOCHMAN | ||||||||
| FirstName: | SHARON | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29425 NORTHWESTERN HWY | ||||||||
| Address2: | SUITE 125 | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480341080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483539460 | ||||||||
| FaxNumber: | 2483538084 | ||||||||
| Practice Location | |||||||||
| Address1: | 280 N OLD WOODWARD AVE | ||||||||
| Address2: | SUITE LL14 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480095300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2486440166 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | SH008841 | MI | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.