Provider Demographics
NPI:1215059720
Name:HOENZSCH, CONSTANCE B (CASAC)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:B
Last Name:HOENZSCH
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARK ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-3207
Mailing Address - Fax:518-926-3215
Practice Address - Street 1:10 HARLEM ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2934
Practice Address - Country:US
Practice Address - Phone:518-926-7200
Practice Address - Fax:518-926-7036
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health