Provider Demographics
NPI:1568671899
Name:HOY, JUDITH MARY (LICSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MARY
Last Name:HOY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 WAYZATA BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1635
Mailing Address - Country:US
Mailing Address - Phone:952-920-5000
Mailing Address - Fax:
Practice Address - Street 1:3655 LONGFELLOW AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-2921
Practice Address - Country:US
Practice Address - Phone:612-721-8794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN083711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical