Healthcare Provider Details

I. General information

NPI: 1902814445
Provider Name (Legal Business Name): THOMAS D HOEFEL PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W. MONUMENT SQ. SUITE 206
LEWISTOWN PA
17044
US

IV. Provider business mailing address

3 W. MONUMENT SQ. SUITE 206
LEWISTOWN PA
17044
US

V. Phone/Fax

Practice location:
  • Phone: 717-248-8197
  • Fax: 717-248-6449
Mailing address:
  • Phone: 717-248-8197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS015305
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: