Provider Demographics
NPI:1588789473
Name:HOFFNER, LINDA KATHRYN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KATHRYN
Last Name:HOFFNER
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 1:128 DAPHNE LN
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-9657
Mailing Address - Country:US
Mailing Address - Phone:252-473-5249
Mailing Address - Fax:
Practice Address - Street 1:128 DAPHNE LN
Practice Address - Street 2:
Practice Address - City:MANTEO
Practice Address - State:NC
Practice Address - Zip Code:27954-9657
Practice Address - Country:US
Practice Address - Phone:252-473-6549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5491235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist