Healthcare Provider Details

I. General information

NPI: 1700331055
Provider Name (Legal Business Name): HOFFMAN PSYCHOLOGICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2016
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E WASHINGTON ST STE 410
ANN ARBOR MI
48104-2017
US

IV. Provider business mailing address

2375 S 7TH ST
ANN ARBOR MI
48103-6146
US

V. Phone/Fax

Practice location:
  • Phone: 734-531-9930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: JODY HOFFMAN
Title or Position: OWNER
Credential: PHD
Phone: 734-531-9930