Healthcare Provider Details

I. General information

NPI: 1225408974
Provider Name (Legal Business Name): HOFFMAN PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 10/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 PIONEERS BLVD STE 218
LINCOLN NE
68502-5963
US

IV. Provider business mailing address

3201 PIONEERS BLVD STE 218
LINCOLN NE
68502-5963
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-7900
  • Fax:
Mailing address:
  • Phone: 402-483-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number877
License Number StateNE

VIII. Authorized Official

Name: TINA D HOFFMAN
Title or Position: PRESIDENT
Credential: PHD
Phone: 402-202-7612