Provider Demographics
NPI:1407688856
Name:HOCHMUTH, MICHAELA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:HOCHMUTH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9049 ASBURY RD
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-9702
Mailing Address - Country:US
Mailing Address - Phone:585-356-9485
Mailing Address - Fax:
Practice Address - Street 1:7001 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125-9774
Practice Address - Country:US
Practice Address - Phone:585-948-5211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist