Provider Demographics
NPI:1841375961
Name:HOFFMAN, JOY M (PSYD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:M
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:M
Other - Last Name:CRABTREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 99213
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0213
Mailing Address - Country:US
Mailing Address - Phone:682-885-1860
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:750 MID CITIES BLVD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2768
Practice Address - Country:US
Practice Address - Phone:817-347-2990
Practice Address - Fax:817-485-4133
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31732103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86995AOtherBCSTX IND PIN
TX10033787OtherAMERIGROUP PIN
TX5631510OtherFIRSTHEALTH PIN
TX174197701Medicaid
TX00G981OtherBCBSTX GRP IN
1336198894OtherGRP NPI NUMBER