Provider Demographics
NPI:1891248217
Name:HOFMEYER, ERICKA (LMFT92232)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:HOFMEYER
Suffix:
Gender:F
Credentials:LMFT92232
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17015 PACIFIC COAST HWY SPC 28
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3388
Mailing Address - Country:US
Mailing Address - Phone:310-699-3636
Mailing Address - Fax:
Practice Address - Street 1:17015 PACIFIC COAST HIGHWAY
Practice Address - Street 2:SPC 28
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272
Practice Address - Country:US
Practice Address - Phone:310-699-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT92232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist