Provider Demographics
NPI:1134208564
Name:HOOFER, JOY LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:LYNN
Last Name:HOOFER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 TILBURY LN
Mailing Address - Street 2:
Mailing Address - City:HALSTEAD
Mailing Address - State:KS
Mailing Address - Zip Code:67056
Mailing Address - Country:US
Mailing Address - Phone:316-212-6287
Mailing Address - Fax:316-283-1142
Practice Address - Street 1:120 W 6TH ST
Practice Address - Street 2:STE 160
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-2166
Practice Address - Country:US
Practice Address - Phone:316-212-6287
Practice Address - Fax:316-283-1142
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1658103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical