Doctor Name: | MRS. PATRICIA DIANA HOFFMAN |
NPI Number: | 1114994050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NBCC |
License Number: | 11045 |
Business Practice Address: | 75 N Garden Ave Sierra Vista, AZ - 856353805 |
Business Phone Number: | 5204599929 |
Business Fax Number: | |
Mailing Address: | 3614 Pinnacle Ct, SIERRA VISTA |
State: | AZ |
Postal Code: | 856507519 |
Phone Number: | 5204582131 |
Fax Number: | 5204592959 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 11045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |