Provider Demographics
NPI:1467643841
Name:HOFFMANN, KIT ANN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KIT
Middle Name:ANN
Last Name:HOFFMANN
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 1:105 OAK ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3652
Mailing Address - Country:US
Mailing Address - Phone:781-963-6189
Mailing Address - Fax:
Practice Address - Street 1:7540 19TH AVE
Practice Address - Street 2:#200 SYNERTX
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021
Practice Address - Country:US
Practice Address - Phone:888-873-4221
Practice Address - Fax:888-543-2289
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2972235Z00000X
DC01004458/ASHA #235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist