Provider Demographics
NPI:1780972612
Name:HOCK, QUINCY ALEXANDRA LASHLEY
Entity type:Individual
Prefix:MS
First Name:QUINCY
Middle Name:ALEXANDRA LASHLEY
Last Name:HOCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ANDOVER ST STE 403
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5702
Mailing Address - Country:US
Mailing Address - Phone:978-712-9186
Mailing Address - Fax:855-269-4409
Practice Address - Street 1:204 ANDOVER ST STE 403
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5702
Practice Address - Country:US
Practice Address - Phone:978-712-9186
Practice Address - Fax:855-269-4409
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1477106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist