Healthcare Provider Details

I. General information

NPI: 1225940067
Provider Name (Legal Business Name): SYDNEY HOFFMAN CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5427B BACKLICK RD
SPRINGFIELD VA
22151-3915
US

IV. Provider business mailing address

5427B BACKLICK RD
SPRINGFIELD VA
22151-3915
US

V. Phone/Fax

Practice location:
  • Phone: 571-356-6742
  • Fax:
Mailing address:
  • Phone: 571-356-6742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202012546
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: