MEDICARE: LAURA HOFFMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC012935	PA

General Provider Information

NPI Number	:	1669069621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA HOFFMAN

Provider Business Mailing Address
First Line	:	101 PEMBROKE CT
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-6404
Country	:	US
Telephone Number	:	724-396-1510
Fax Number	:	724-972-4627

Provider Business Practice Location Address
First Line	:	123 N PITTSBURGH ST
Second Line	:
City	:	ZELIENOPLE
State	:	PA
Zip	:	16063-1229
Country	:	US
Telephone Number	:	724-396-1510
Fax Number	:	724-972-4627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2020
Last Update Date	:	12/24/2020

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Directions to “ LAURA HOFFMAN ” Practice Location

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