Individual
STEWART HOCKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
255 S 17TH ST STE 1909, PHILADELPHIA, PA 19103-6219
(215) 576-1728
(215) 576-1728
Mailing address
409 CARLTON AVE, WYNCOTE, PA 19095-2015
(215) 576-1728
(215) 576-1728
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS008448L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102891000
PERSONAL CHOICE PROVIDER
PA
01
—
158128
VALUE OPTIONS
PA
01
—
243596
MANAGED HEALTH NETWORK
PA
01
—
7543181
AETNA HEALTH CARE
PA
01
—
H0122450
INDEPENDENCE BLUE CROSS
PA
Enumeration date
12/29/2006
Last updated
07/08/2007
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