Provider Demographics
NPI:1215173190
Name:HOFFMAN, CHRISTIN (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SCHENCK AVE
Mailing Address - Street 2:APT. 3F
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3637
Mailing Address - Country:US
Mailing Address - Phone:516-708-9440
Mailing Address - Fax:
Practice Address - Street 1:17 SCHENCK AVE
Practice Address - Street 2:APT. 3F
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3637
Practice Address - Country:US
Practice Address - Phone:516-708-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017538235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist