Healthcare Provider Details

I. General information

NPI: 1548083975
Provider Name (Legal Business Name): TIM SCOTT HOTCHKISS PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5743 E THOMAS RD STE 106
SCOTTSDALE AZ
85251-7571
US

IV. Provider business mailing address

5743 E THOMAS RD STE 106
SCOTTSDALE AZ
85251-7571
US

V. Phone/Fax

Practice location:
  • Phone: 480-404-2445
  • Fax:
Mailing address:
  • Phone: 480-404-2445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-005372
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: