Provider Demographics
NPI:1588619605
Name:HOFFNUNG, DEBORAH SCHRAGER (PHD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SCHRAGER
Last Name:HOFFNUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:SCHRAGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6829 N 72ND ST
Mailing Address - Street 2:SUITE 4700
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1723
Mailing Address - Country:US
Mailing Address - Phone:402-572-2169
Mailing Address - Fax:
Practice Address - Street 1:6829 N 72ND ST
Practice Address - Street 2:SUITE 4700
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1723
Practice Address - Country:US
Practice Address - Phone:402-572-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015625103T00000X
NE635103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q13353Medicare UPIN