Provider Demographics
NPI:1114048576
Name:HOFFMAN, GRETCHEN ANN (PHD, LPC, QMHP)
Entity Type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ANN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHD, LPC, QMHP
Other - Prefix:MISS
Other - First Name:GRETCHEN
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC, QMHP
Mailing Address - Street 1:2417 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3910
Mailing Address - Country:US
Mailing Address - Phone:605-338-9237
Mailing Address - Fax:
Practice Address - Street 1:2000 S SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2727
Practice Address - Country:US
Practice Address - Phone:605-336-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC1151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional