1154319465 NPI number — MS. NOREEN MANDELL HOCHBERGER MSW

Table of content: MS. NOREEN MANDELL HOCHBERGER MSW (NPI 1154319465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154319465 NPI number — MS. NOREEN MANDELL HOCHBERGER MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOCHBERGER
Provider First Name:
NOREEN
Provider Middle Name:
MANDELL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MANDELL
Provider Other First Name:
NOREEN
Provider Other Middle Name:
IRIS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1154319465
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
305 NW 111TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORAL SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33071-7982
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-461-9030
Provider Business Mailing Address Fax Number:
954-344-2065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1801 N UNIVERSITY DR
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
CORAL SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33071-8920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-344-0266
Provider Business Practice Location Address Fax Number:
954-344-2065
Provider Enumeration Date:
10/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW185 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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