Provider Demographics
NPI:1649448820
Name:HOFFMEYER, SARAH T (PSY,D,)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:T
Last Name:HOFFMEYER
Suffix:
Gender:F
Credentials:PSY,D,
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:THOMASON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1585 JONESVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379-9790
Mailing Address - Country:US
Mailing Address - Phone:864-429-3610
Mailing Address - Fax:864-429-8291
Practice Address - Street 1:1585 JONESVILLE HWY
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379-9790
Practice Address - Country:US
Practice Address - Phone:864-429-3610
Practice Address - Fax:864-429-8291
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC121328Medicaid