Provider Demographics
NPI:1578769782
Name:RICH HYCNER, PH.D.
Entity Type:Organization
Organization Name:RICH HYCNER, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:HYCNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-481-8744
Mailing Address - Street 1:140 MARINE VIEW AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2122
Mailing Address - Country:US
Mailing Address - Phone:858-481-8744
Mailing Address - Fax:951-245-0309
Practice Address - Street 1:140 MARINE VIEW AVE STE 104
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2122
Practice Address - Country:US
Practice Address - Phone:858-481-8744
Practice Address - Fax:951-245-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY6979103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty