Provider Demographics
NPI:1235409467
Name:HOCHKEPPEL, CASI ELIZABETH (TSSLD)
Entity Type:Individual
Prefix:
First Name:CASI
Middle Name:ELIZABETH
Last Name:HOCHKEPPEL
Suffix:
Gender:F
Credentials:TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-06 BERDAN AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2117
Mailing Address - Country:US
Mailing Address - Phone:551-206-1334
Mailing Address - Fax:
Practice Address - Street 1:17 BERKLEY DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1422
Practice Address - Country:US
Practice Address - Phone:914-592-4203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY41292912251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)