Healthcare Provider Details

I. General information

NPI: 1427962224
Provider Name (Legal Business Name): DANIEL HOFFMAN PHD, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W EISENHOWER PKWY STE 190
ANN ARBOR MI
48103-6934
US

IV. Provider business mailing address

250 W EISENHOWER PKWY STE 190
ANN ARBOR MI
48103-6934
US

V. Phone/Fax

Practice location:
  • Phone: 734-961-7196
  • Fax:
Mailing address:
  • Phone: 734-961-7196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY32053
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301019087
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: