Provider Demographics
NPI:1750453767
Name:HOTCHKISS, LUCINDA CLARK (PHD)
Entity Type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:CLARK
Last Name:HOTCHKISS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:60 W 66TH ST
Mailing Address - Street 2:APT. 11A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6214
Mailing Address - Country:US
Mailing Address - Phone:212-877-0778
Mailing Address - Fax:212-877-0778
Practice Address - Street 1:24302 NORTHERN BLVD
Practice Address - Street 2:JEWISH BOARD OF FAM. & CHILDR'S SERV. (PRIDE OF JUDEA)
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-1150
Practice Address - Country:US
Practice Address - Phone:718-423-6200
Practice Address - Fax:718-423-9762
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY012384-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical