Provider Demographics
NPI:1689826927
Name:HOFMEISTER, ANTJE (LMFT)
Entity Type:Individual
Prefix:
First Name:ANTJE
Middle Name:
Last Name:HOFMEISTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1811
Mailing Address - Country:US
Mailing Address - Phone:415-265-1109
Mailing Address - Fax:888-965-5619
Practice Address - Street 1:2504 CLAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1811
Practice Address - Country:US
Practice Address - Phone:415-265-1109
Practice Address - Fax:888-965-5619
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43710106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA11882814OtherCAQH