# GARY LEE HITCHCOCK, PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477872471
- **Authorized official:** DR. GARY LEE HITCHCOCK PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (805) 458-6881

## Contact information

- **Practice address:** 3448 EDGEWOOD DR, SAN LUIS OBISPO, CA 93401-6020
- **Practice address phone:** (805) 458-6881
- **Practice address fax:** (805) 543-3241
- **Mailing address:** 3448 EDGEWOOD DR, SAN LUIS OBISPO, CA 93401-6020
- **Mailing address phone:** (805) 458-6881
- **Mailing address fax:** (805) 543-3241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PSY 18045 | CA | Yes |

## Other

- **Enumeration date:** 06/01/2010
- **Last updated:** 06/01/2010