Provider Demographics
NPI:1295196905
Name:SLOCUM-HOFFMAN, JOLENE (AUD)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:
Last Name:SLOCUM-HOFFMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4252 N 71
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-5997
Mailing Address - Country:US
Mailing Address - Phone:423-638-1291
Mailing Address - Fax:423-638-9398
Practice Address - Street 1:1410 TUSCULUM BLVD
Practice Address - Street 2:SUITE 2500
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4286
Practice Address - Country:US
Practice Address - Phone:423-638-1291
Practice Address - Fax:423-638-9398
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist