Provider Demographics
NPI:1740346907
Name:HOFFMAN, PATRICIA KAY (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:KAY
Last Name:HOFFMAN
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 1:2918 SUTTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-3012
Mailing Address - Country:US
Mailing Address - Phone:314-644-1806
Mailing Address - Fax:314-646-1809
Practice Address - Street 1:2918 SUTTON BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63143-3012
Practice Address - Country:US
Practice Address - Phone:314-644-1806
Practice Address - Fax:314-646-1809
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01621103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical