Healthcare Provider Details

I. General information

NPI: 1336490705
Provider Name (Legal Business Name): TONYA LYNN HOTCHKIN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2012
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 C ST SW
CEDAR RAPIDS IA
52404
US

IV. Provider business mailing address

2309 C ST SW
CEDAR RAPIDS IA
52404-3707
US

V. Phone/Fax

Practice location:
  • Phone: 319-365-9164
  • Fax: 319-368-3358
Mailing address:
  • Phone: 319-365-9164
  • Fax: 319-368-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000376
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: