Doctor Name: | PENNIE L. HOOFMAN |
NPI Number: | 1487822839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, PSYCHOLOGIST |
License Number: | 2231 |
Business Practice Address: | Bldg 301, Andrews Ave Lyster Army Health Clinic Ft Rucker, AL - 363625333 |
Business Phone Number: | 3342557425 |
Business Fax Number: | 3342557368 |
Mailing Address: | Bldg 301, Andrews Ave, Lyster Army Health Clinic FT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342557425 |
Fax Number: | 3342557368 |
NPI Enumeration Date: | 02/19/2008 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |