Healthcare Provider Details

I. General information

NPI: 1275678807
Provider Name (Legal Business Name): GREGORY SCOTT HOCOTT PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 PACKARD ST SUITE 220
ANN ARBOR MI
48108-2280
US

IV. Provider business mailing address

3384 TACOMA CIR
ANN ARBOR MI
48108-1746
US

V. Phone/Fax

Practice location:
  • Phone: 734-477-9999
  • Fax: 734-477-0955
Mailing address:
  • Phone: 734-975-2995
  • Fax: 734-477-0955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301010843
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: