Provider Demographics
NPI:1215189279
Name:HOFFMAN, BLAIR LYNNE (MS,CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:BLAIR
Middle Name:LYNNE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FIELDSTONE DR APT 323
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1545
Mailing Address - Country:US
Mailing Address - Phone:914-831-0927
Mailing Address - Fax:
Practice Address - Street 1:10 FIELDSTONE DR APT 323
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1545
Practice Address - Country:US
Practice Address - Phone:914-831-0927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004880-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist