Provider Demographics
NPI:1902814445
Name:HOEFEL, THOMAS D (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:HOEFEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 W. MONUMENT SQ.
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044
Mailing Address - Country:US
Mailing Address - Phone:717-248-8197
Mailing Address - Fax:
Practice Address - Street 1:3 W. MONUMENT SQ.
Practice Address - Street 2:SUITE 206
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044
Practice Address - Country:US
Practice Address - Phone:717-248-8197
Practice Address - Fax:717-248-6449
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015305103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA065612NKAMedicare ID - Type UnspecifiedPSYCHOLOGIST