Provider Demographics
NPI:1104953751
Name:HOFFMAN, NANCY H (PHD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:H
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CENTRE AVE
Mailing Address - Street 2:ESSEX HOUSE, SUITE L4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3744
Mailing Address - Country:US
Mailing Address - Phone:412-361-1010
Mailing Address - Fax:412-361-1010
Practice Address - Street 1:5701 CENTRE AVE
Practice Address - Street 2:ESSEX HOUSE, SUITE L4
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3744
Practice Address - Country:US
Practice Address - Phone:412-361-1010
Practice Address - Fax:412-361-1010
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008246L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA873851Medicare ID - Type UnspecifiedPROVIDER NUMBER
PAS24351Medicare UPIN