Healthcare Provider Details

I. General information

NPI: 1730740119
Provider Name (Legal Business Name): RACHAEL LYNN HOFFMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 S BRADDOCK AVE UNIT 1
PITTSBURGH PA
15218-1251
US

IV. Provider business mailing address

1435 MACON AVE
PITTSBURGH PA
15218-1220
US

V. Phone/Fax

Practice location:
  • Phone: 412-206-9153
  • Fax:
Mailing address:
  • Phone: 724-813-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPS018792
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: