Healthcare Provider Details

I. General information

NPI: 1508254566
Provider Name (Legal Business Name): JOSHUA HOFFMAN PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2014
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 MAYFIELD RD STE 306
LYNDHURST OH
44124-2697
US

IV. Provider business mailing address

5010 MAYFIELD RD STE 306
LYNDHURST OH
44124-2697
US

V. Phone/Fax

Practice location:
  • Phone: 216-591-6191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.08806
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: