Healthcare Provider Details

I. General information

NPI: 1639537731
Provider Name (Legal Business Name): ANNE HOFFMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 CHURCH ROAD
NORTH WALES PA
19454
US

IV. Provider business mailing address

217 CHURCH ROAD
NORTH WALES PA
19454-3020
US

V. Phone/Fax

Practice location:
  • Phone: 267-613-8246
  • Fax:
Mailing address:
  • Phone: 267-613-8246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005497
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: