Provider Demographics
NPI:1518183698
Name:HECHT, PATRICA H (MFT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICA
Middle Name:H
Last Name:HECHT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17461 IRVINE BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3034
Mailing Address - Country:US
Mailing Address - Phone:714-730-0503
Mailing Address - Fax:
Practice Address - Street 1:17461 IRVINE BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3034
Practice Address - Country:US
Practice Address - Phone:714-730-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMQ19685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist