Healthcare Provider Details

I. General information

NPI: 1831524313
Provider Name (Legal Business Name): MATTHEW J. HOFFMAN, LMFT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 MIDDLESEX TPKE SUITE A-2
OLD SAYBROOK CT
06475-1302
US

IV. Provider business mailing address

127 NORWOOD AVE
NEW LONDON CT
06320-3835
US

V. Phone/Fax

Practice location:
  • Phone: 860-235-4056
  • Fax: 860-395-1897
Mailing address:
  • Phone: 860-235-4056
  • Fax: 860-395-1897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW J HOFFMAN
Title or Position: PRESIDENT
Credential: LMFT
Phone: 860-235-4056