MEDICARE: DR. JENNIFER L. HOCHMAN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY 6609	FL

General Provider Information

NPI Number	:	1144457904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L. HOCHMAN PSY.D.

Provider Business Mailing Address
First Line	:	8087 N SAVANNAH CIR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33328-3031
Country	:	US
Telephone Number	:	954-557-4364
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 COLLEGE AVE
Second Line	:	NOVA SOUTHEASTERN UNIVERSITY-CPS
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33314
Country	:	US
Telephone Number	:	954-262-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	06/18/2009

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