Individual
JOLIE M. HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
403 W VIRGINIA AVE, NORMAL, IL 61761-3666
(309) 268-2910
(309) 268-2913
Mailing address
PO BOX 2451, BLOOMINGTON, IL 61702-2451
(309) 268-2172
(309) 268-3649
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732028
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/25/2006
Last updated
07/08/2007
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