Healthcare Provider Details

I. General information

NPI: 1619675386
Provider Name (Legal Business Name): PENNY D. HOFFMAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1664 N CENTER AVE
SOMERSET PA
15501-7032
US

IV. Provider business mailing address

PO BOX 334
DAVIDSVILLE PA
15928-0334
US

V. Phone/Fax

Practice location:
  • Phone: 814-442-3330
  • Fax:
Mailing address:
  • Phone: 814-442-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: PENNY HOFFMAN
Title or Position: OWNER
Credential:
Phone: 814-442-3330