Provider Demographics
NPI:1952708059
Name:HOCKRIDGE, LINDSEY RYEN DENYSE (MA,LMFT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RYEN DENYSE
Last Name:HOCKRIDGE
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 S VICTORIA AVE
Mailing Address - Street 2:#232
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1292
Mailing Address - Country:US
Mailing Address - Phone:805-754-7096
Mailing Address - Fax:
Practice Address - Street 1:160B GUTHRIE LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-4037
Practice Address - Country:US
Practice Address - Phone:925-276-0707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF82821390200000X
CA102822106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program