Healthcare Provider Details

I. General information

NPI: 1518196674
Provider Name (Legal Business Name): KRISTIN SUZANNE HOFFMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, CDRC 880 6TH STREET SOUTH
ST. PETERSBURG FL
33701
US

IV. Provider business mailing address

JOHNS HOPKINS ALL CHILDREN'S HOSPITAL, CDRC 880 6TH STREET SOUTH
ST. PETERSBURG FL
33701
US

V. Phone/Fax

Practice location:
  • Phone: 727-898-7451
  • Fax:
Mailing address:
  • Phone: 727-898-7451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY10067
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: