Provider Demographics
NPI:1487838348
Name:HOFFMAN, KENT (RELD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:RELD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2808
Mailing Address - Country:US
Mailing Address - Phone:509-455-7654
Mailing Address - Fax:
Practice Address - Street 1:807 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2808
Practice Address - Country:US
Practice Address - Phone:509-455-7654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001202106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist