Provider Demographics
NPI:1699022277
Name:HOFFMAN, ASHLEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
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 1:103 MOUNTAIN BROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-7915
Mailing Address - Country:US
Mailing Address - Phone:256-542-1825
Mailing Address - Fax:256-850-2154
Practice Address - Street 1:103 MOUNTAIN BROOK BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-7915
Practice Address - Country:US
Practice Address - Phone:256-542-1825
Practice Address - Fax:256-850-2154
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1860103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical