Provider Demographics
NPI:1649393562
Name:HOTZ, SANDRA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:L
Last Name:HOTZ
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 1:11 HUDSON CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-7254
Mailing Address - Country:US
Mailing Address - Phone:713-465-5805
Mailing Address - Fax:713-652-2717
Practice Address - Street 1:950 ECHO LN STE 335
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-751-8899
Practice Address - Fax:832-871-5555
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-1590103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist