Provider Demographics
NPI:1407050198
Name:HOYER, JENNIFER ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:HOYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 BURDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-8120
Mailing Address - Country:US
Mailing Address - Phone:563-557-7094
Mailing Address - Fax:
Practice Address - Street 1:909 MAIN ST
Practice Address - Street 2:SUITE 505
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6712
Practice Address - Country:US
Practice Address - Phone:563-556-0699
Practice Address - Fax:563-583-3077
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1275683955OtherTAXPAYER IDENTIFICATION N