Healthcare Provider Details

I. General information

NPI: 1073552311
Provider Name (Legal Business Name): CLAUDIA HOFFMANN ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 EXECUTIVE PARK DR STE. 406
CINCINNATI OH
45241-4017
US

IV. Provider business mailing address

PO BOX 634241
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-312-3329
  • Fax: 513-699-1831
Mailing address:
  • Phone: 513-891-7574
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3127
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: