Provider Demographics
NPI:1124426515
Name:HOFFMAN, LYNDSEY (MS, EDS, NCSP)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS, EDS, NCSP
Other - Prefix:
Other - First Name:LYNDSEY
Other - Middle Name:
Other - Last Name:TIMPONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, EDS, NCSP
Mailing Address - Street 1:803 GRANTS TRL
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6370 S MASON MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3714
Practice Address - Country:US
Practice Address - Phone:513-398-9035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist