Provider Demographics
NPI:1659550598
Name:HOFFMAN, TRICIA LEAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:LEAH
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-4806
Mailing Address - Country:US
Mailing Address - Phone:319-338-2722
Mailing Address - Fax:
Practice Address - Street 1:800 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-4806
Practice Address - Country:US
Practice Address - Phone:319-338-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-28
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001048103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist