Provider Demographics
NPI:1720489404
Name:HOCHMAN, ALISSA (PHD)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:HOCHMAN
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 1:604 ELDRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1706
Mailing Address - Country:US
Mailing Address - Phone:203-545-1495
Mailing Address - Fax:
Practice Address - Street 1:854 S WHITE HORSE PIKE UNIT 4
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2033
Practice Address - Country:US
Practice Address - Phone:609-704-0185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019237103T00000X
NJ35SI00697300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist