Provider Demographics
NPI:1386975142
Name:HOCKENHULL, WILLIAM H
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:H
Last Name:HOCKENHULL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-2025
Mailing Address - Country:US
Mailing Address - Phone:401-320-4458
Mailing Address - Fax:401-340-1572
Practice Address - Street 1:410 N BROADWAY
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2025
Practice Address - Country:US
Practice Address - Phone:508-808-1837
Practice Address - Fax:508-754-2783
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01521101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health