Organization
GARY LEE HITCHCOCK, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LEE HITCHCOCK PH.D. (PSYCHOLOGIST)
(805) 458-6881
Entity
Organization
Contact information
Practice address
3448 EDGEWOOD DR, SAN LUIS OBISPO, CA 93401-6020
(805) 458-6881
(805) 543-3241
Mailing address
3448 EDGEWOOD DR, SAN LUIS OBISPO, CA 93401-6020
(805) 458-6881
(805) 543-3241
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
PSY 18045
CA
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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