Healthcare Provider Details

I. General information

NPI: 1124426515
Provider Name (Legal Business Name): LYNDSEY HOFFMAN M.S., ED.S., NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYNDSEY TIMPONE M.S., ED.S., NCSP

II. Dates (important events)

Enumeration Date: 12/17/2014
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6370 S MASON MONTGOMERY RD
MASON OH
45040-3714
US

IV. Provider business mailing address

803 GRANTS TRL
CENTERVILLE OH
45459-3125
US

V. Phone/Fax

Practice location:
  • Phone: 513-398-9035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: