Provider Demographics
NPI:1023009099
Name:HOFFMAN, RANDY A (SLP)
Entity Type:Individual
Prefix:MRS
First Name:RANDY
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MRS
Other - First Name:RANDY
Other - Middle Name:KAY
Other - Last Name:ARENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:3301 ALMA ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-3501
Mailing Address - Country:US
Mailing Address - Phone:650-852-9460
Mailing Address - Fax:650-493-7874
Practice Address - Street 1:3301 ALMA ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-3501
Practice Address - Country:US
Practice Address - Phone:650-852-9460
Practice Address - Fax:650-493-7874
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5639235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist