Provider Demographics
NPI:1104839430
Name:HOFFMAN, ROSALIND A (DED)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DED
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 4623
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-9998
Mailing Address - Country:US
Mailing Address - Phone:717-512-5177
Mailing Address - Fax:717-259-6061
Practice Address - Street 1:2311 FAIRFIELD ROAD
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-9998
Practice Address - Country:US
Practice Address - Phone:717-512-5177
Practice Address - Fax:717-259-6061
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006866L103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS34675Medicare UPIN