Healthcare Provider Details

I. General information

NPI: 1720097009
Provider Name (Legal Business Name): DAVID A. 'TONY' HOFFMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 POTRERO ST STE 55
SANTA CRUZ CA
95060-2760
US

IV. Provider business mailing address

303 POTRERO ST STE 55
SANTA CRUZ CA
95060-2760
US

V. Phone/Fax

Practice location:
  • Phone: 831-423-4073
  • Fax: 831-423-6106
Mailing address:
  • Phone: 831-423-4073
  • Fax: 831-423-6106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY11455
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY11455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: