Provider Demographics
NPI:1922445436
Name:HOCK, TAMMY AHN (LPC)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:AHN
Last Name:HOCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 SANDERLING CIR
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2008
Mailing Address - Country:US
Mailing Address - Phone:610-666-1396
Mailing Address - Fax:
Practice Address - Street 1:150 S WARNER RD STE 150
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2832
Practice Address - Country:US
Practice Address - Phone:215-280-4958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health