Provider Demographics
NPI:1316053648
Name:HOCKMAN, R LAURA (PSYD)
Entity type:Individual
Prefix:
First Name:R
Middle Name:LAURA
Last Name:HOCKMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:LAURA
Other - Last Name:HOCKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:13001 E 17TH PL FL 2
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2570
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:303-504-4286
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2631103T00000X
COPSY.0002631103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist