Provider Demographics
NPI:1467041848
Name:HOCHHEISER, LISA KANIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:KANIN
Last Name:HOCHHEISER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 WILLARD AVE STE 233
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4609
Mailing Address - Country:US
Mailing Address - Phone:301-657-2200
Mailing Address - Fax:
Practice Address - Street 1:4701 WILLARD AVE STE 233
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4609
Practice Address - Country:US
Practice Address - Phone:301-657-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01880103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical