Provider Demographics
NPI:1366820771
Name:HOFFMAN, ANNE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
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 1:2015 E LAMAR BLVD STE 200
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7389
Mailing Address - Country:US
Mailing Address - Phone:817-203-2622
Mailing Address - Fax:817-704-4334
Practice Address - Street 1:2015 E LAMAR BLVD STE 200
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7389
Practice Address - Country:US
Practice Address - Phone:817-203-2622
Practice Address - Fax:817-704-4334
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102994235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist