Healthcare Provider Details

I. General information

NPI: 1588619605
Provider Name (Legal Business Name): DEBORAH SCHRAGER HOFFNUNG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH ANN SCHRAGER

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6829 N 72ND ST SUITE 4700
OMAHA NE
68122-1723
US

IV. Provider business mailing address

6829 N 72ND ST SUITE 4700
OMAHA NE
68122-1723
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-2169
  • Fax:
Mailing address:
  • Phone: 402-572-2169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number015625
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number635
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: