Provider Demographics
NPI:1073552311
Name:HOFFMANN, CLAUDIA (EDD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 634241
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-891-7574
Mailing Address - Fax:513-793-1032
Practice Address - Street 1:4015 EXECUTIVE PARK DR
Practice Address - Street 2:STE. 406
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-4017
Practice Address - Country:US
Practice Address - Phone:513-312-3329
Practice Address - Fax:513-699-1831
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3127103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0519602Medicaid
OH0519602Medicaid