Individual
STACY HOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
Mailing address
495 KERBER RD, WEST LAFAYETTE, IN 47906-9433
(765) 583-0581
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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