Healthcare Provider Details

I. General information

NPI: 1013052448
Provider Name (Legal Business Name): ELIZABETH H. HOFFMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 MARKET ST
CAMP HILL PA
17011-4624
US

IV. Provider business mailing address

2214 MARKET ST
CAMP HILL PA
17011-4624
US

V. Phone/Fax

Practice location:
  • Phone: 717-761-8523
  • Fax: 717-761-8525
Mailing address:
  • Phone: 717-761-8523
  • Fax: 717-761-8525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS004346L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: