Provider Demographics
NPI:1790554244
Name:BRIMEYER HOFFMAN, KATEY
Entity Type:Individual
Prefix:
First Name:KATEY
Middle Name:
Last Name:BRIMEYER HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 SLATE LN
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-2304
Mailing Address - Country:US
Mailing Address - Phone:515-499-2170
Mailing Address - Fax:
Practice Address - Street 1:1009 SLATE LN
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-2304
Practice Address - Country:US
Practice Address - Phone:515-499-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician