Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810-006079 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810-006079 | VA |
NPI | 1003385543 |
---|---|
Provider Name | Dr. Tracy Ann Hoffman |
First Address | Arlington, VA 22203-2488 |
Second Address | Arlington, VA 22203-2488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 14/11/2018 |