Provider Demographics
NPI:1730455841
Name:HOCHHAUS, LARRY (PHD, LADC)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:HOCHHAUS
Suffix:
Gender:M
Credentials:PHD, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10730 E 28TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-7623
Mailing Address - Country:US
Mailing Address - Phone:918-809-1152
Mailing Address - Fax:918-828-0155
Practice Address - Street 1:7950 E 41ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-3215
Practice Address - Country:US
Practice Address - Phone:918-621-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK809101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)