Provider Demographics
NPI:1023149861
Name:CHOCRON, LUCIEN (DR, LMFT, PSYD)
Entity type:Individual
Prefix:DR
First Name:LUCIEN
Middle Name:
Last Name:CHOCRON
Suffix:
Gender:M
Credentials:DR, LMFT, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14416 HAMLIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1486
Mailing Address - Country:US
Mailing Address - Phone:818-822-6550
Mailing Address - Fax:310-273-1818
Practice Address - Street 1:14416 HAMLIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1486
Practice Address - Country:US
Practice Address - Phone:818-361-5030
Practice Address - Fax:818-365-7707
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPBS32170101YM0800X
CAMFC50440103T00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist