Healthcare Provider Details

I. General information

NPI: 1043917628
Provider Name (Legal Business Name): LAURA ANN HOFFMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 CASTE DR
PITTSBURGH PA
15236-1502
US

IV. Provider business mailing address

5250 CASTE DR
PITTSBURGH PA
15236-1502
US

V. Phone/Fax

Practice location:
  • Phone: 412-885-7017
  • Fax:
Mailing address:
  • Phone: 412-885-7017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS019816
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: