Provider Demographics
NPI:1164624128
Name:HOCH, SCOTT WILSON (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WILSON
Last Name:HOCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 LOON COVE RD
Mailing Address - Street 2:
Mailing Address - City:CHINA
Mailing Address - State:ME
Mailing Address - Zip Code:04358-4155
Mailing Address - Country:US
Mailing Address - Phone:207-968-3211
Mailing Address - Fax:207-968-3211
Practice Address - Street 1:74 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5544
Practice Address - Country:US
Practice Address - Phone:207-626-3378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME443103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist