Healthcare Provider Details

I. General information

NPI: 1528780467
Provider Name (Legal Business Name): DANIELLE HOFFMEISTER CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 W LIBERTY RD STE F
ANN ARBOR MI
48103-9180
US

IV. Provider business mailing address

3200 W LIBERTY RD STE F
ANN ARBOR MI
48103-9180
US

V. Phone/Fax

Practice location:
  • Phone: 734-369-6002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101008142
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: