Provider Demographics
NPI:1306415005
Name:HOFFMAN, ALEDA JORDYN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALEDA
Middle Name:JORDYN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALEDA
Other - Middle Name:JORDYN
Other - Last Name:VARGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:405 CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1145
Mailing Address - Country:US
Mailing Address - Phone:630-296-7449
Mailing Address - Fax:630-929-7532
Practice Address - Street 1:1S132 SUMMIT AVE STE 305D
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3929
Practice Address - Country:US
Practice Address - Phone:630-296-7449
Practice Address - Fax:630-296-7449
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014043101YP2500X
IL071.010584103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178.014043OtherDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION