Healthcare Provider Details

I. General information

NPI: 1902593684
Provider Name (Legal Business Name): STEPHANIE BROMLEY HOFFNER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE BROMLEY LMFT

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 DEKALB ST
NORRISTOWN PA
19401-3415
US

IV. Provider business mailing address

1191 PLOWSHARE RD
BLUE BELL PA
19422-1938
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-9270
  • Fax:
Mailing address:
  • Phone: 610-608-4029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001511
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: