Provider Demographics
NPI:1477857787
Name:HOY, JESSICA MARIE (MA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIE
Last Name:HOY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 S ERICKSON ST
Mailing Address - Street 2:
Mailing Address - City:ROLAND
Mailing Address - State:IA
Mailing Address - Zip Code:50236-1042
Mailing Address - Country:US
Mailing Address - Phone:515-520-2257
Mailing Address - Fax:
Practice Address - Street 1:619 ELM AVE STE 2
Practice Address - Street 2:
Practice Address - City:STORY CITY
Practice Address - State:IA
Practice Address - Zip Code:50248-1300
Practice Address - Country:US
Practice Address - Phone:515-520-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist