Provider Demographics
NPI:1720281983
Name:HOFFMAN, DARLENE TRABOSCIA (MS MFCC)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:TRABOSCIA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-0147
Mailing Address - Country:US
Mailing Address - Phone:970-479-9912
Mailing Address - Fax:970-476-1196
Practice Address - Street 1:953 SO FRONTAGE RD W
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657
Practice Address - Country:US
Practice Address - Phone:970-479-9912
Practice Address - Fax:970-476-1196
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT282103TC0700X
CAMFC16798103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis