Provider Demographics
NPI:1629152400
Name:HOFFMAN, MORRIS GARY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:GARY
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 HERITAGE VILLAGE PLZ STE 102
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3054
Mailing Address - Country:US
Mailing Address - Phone:703-405-2337
Mailing Address - Fax:703-754-0311
Practice Address - Street 1:7230 HERITAGE VILLAGE PLZ STE 102
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3054
Practice Address - Country:US
Practice Address - Phone:703-405-2337
Practice Address - Fax:703-754-0311
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003289103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical