Healthcare Provider Details

I. General information

NPI: 1376588129
Provider Name (Legal Business Name): JOYCE L HOCKER AND ASSOC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N HIGGINS AVE 309
MISSOULA MT
59802-4462
US

IV. Provider business mailing address

210 N HIGGINS AVE 309
MISSOULA MT
59802-4462
US

V. Phone/Fax

Practice location:
  • Phone: 406-721-8220
  • Fax:
Mailing address:
  • Phone: 406-721-8220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number174
License Number StateMT

VIII. Authorized Official

Name: JOYCE L HOCKER
Title or Position: OWNER
Credential:
Phone: 406-721-8220