Provider Demographics
NPI:1548083975
Name:HOTCHKISS, TIM SCOTT (PSYD)
Entity type:Individual
Prefix:DR
First Name:TIM
Middle Name:SCOTT
Last Name:HOTCHKISS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5743 E THOMAS RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7571
Mailing Address - Country:US
Mailing Address - Phone:480-404-2445
Mailing Address - Fax:
Practice Address - Street 1:5743 E THOMAS RD STE 106
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7571
Practice Address - Country:US
Practice Address - Phone:480-404-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-005372103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical