Healthcare Provider Details

I. General information

NPI: 1518240332
Provider Name (Legal Business Name): ERICA R HOFF-OYETUNJI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 40TH ST. S. SUITE 505A
FARGO ND
58103
US

IV. Provider business mailing address

505 40TH ST S STE 505A
FARGO ND
58103-1184
US

V. Phone/Fax

Practice location:
  • Phone: 701-478-8440
  • Fax: 701-478-8441
Mailing address:
  • Phone: 701-478-8440
  • Fax: 701-478-8441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: