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NPI Code Detail

MEDICARE: BARBARA HOFMANN PHD

MEDICARE:   BARBARA  HOFMANN  PHD
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
1103TH0100XHealth Service Psychologist

General Provider Information

NPI Number : 1780757559
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA HOFMANN PHD
Provider Business Mailing Address
First Line : 650 E BIG BEAVER RD STE A
Second Line :
City : TROY
State : MI
Zip : 48083-1432
Country : US
Telephone Number : 248-761-1411
Fax Number : 248-519-1201
Provider Business Practice Location Address
First Line : 650 E BIG BEAVER RD STE A
Second Line :
City : TROY
State : MI
Zip : 48083-1432
Country : US
Telephone Number : 248-761-1411
Fax Number : 248-519-1201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 03/03/2009

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