Provider Demographics
NPI:1780720367
Name:HOECKER, JEANNE THERESE (MS, LP)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:THERESE
Last Name:HOECKER
Suffix:
Gender:F
Credentials:MS, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2746 SUPERIOR DR NW
Mailing Address - Street 2:SUITE #370
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8343
Mailing Address - Country:US
Mailing Address - Phone:507-287-0800
Mailing Address - Fax:507-287-1880
Practice Address - Street 1:6602 ZUMBRO HYLAND LN NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-8516
Practice Address - Country:US
Practice Address - Phone:507-292-0452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3994103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical