Provider Demographics
NPI:1164404273
Name:HOCHBERG, EVELYN (PSY D)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:HOCHBERG
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 N FEDERAL HWY
Mailing Address - Street 2:STE 270
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-4917
Mailing Address - Country:US
Mailing Address - Phone:561-302-9097
Mailing Address - Fax:
Practice Address - Street 1:5301 N FEDERAL HWY
Practice Address - Street 2:STE 270
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4917
Practice Address - Country:US
Practice Address - Phone:561-241-6628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
73866Medicare ID - Type Unspecified
FL73866AMedicare ID - Type Unspecified