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General NPI Number Information
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NPI Number | 1285446161
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Entity Type | Organization
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Legal Business Name | LISA HOFFORT, PSYD, PSYCHOLOGIST, INC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 572 E GREEN ST STE 304
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City | PASADENA
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State | CA
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Zip | 91101-2085
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Country | US
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Telephone | 818-430-3054
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Fax |
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Provider Business Mailing Address
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Address Line | 11085 HERSHEY ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-1215
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Country | US
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Telephone | 818-430-3054
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. LISA HOFFORT
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Credential | PSYD
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Telephone | 818-430-3054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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