Healthcare Provider Details

I. General information

NPI: 1043389984
Provider Name (Legal Business Name): LOWELL W HOFFMAN PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7540 WINDSOR DR SUITE 105
ALLENTOWN PA
18195
US

IV. Provider business mailing address

PO BOX 425
FOGELSVILLE PA
18051
US

V. Phone/Fax

Practice location:
  • Phone: 610-395-3005
  • Fax: 610-391-1711
Mailing address:
  • Phone: 610-395-3005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS5276L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: