Provider Demographics
NPI:1083080089
Name:HOFFMAN, AMANDA JENE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:JENE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 FALLS OF NEUSE RD STE 138-325
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-2473
Mailing Address - Country:US
Mailing Address - Phone:919-276-5015
Mailing Address - Fax:
Practice Address - Street 1:1340 ENVIRON WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4430
Practice Address - Country:US
Practice Address - Phone:919-276-5015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32132103TC0700X
NC5899103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical