Provider Demographics
NPI:1497091987
Name:HOFFMAN, BRIAN P (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:P
Last Name:HOFFMAN
Suffix:
Gender:M
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 1:450 RAILROAD AVE
Mailing Address - Street 2:UNIT 3B
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3782
Mailing Address - Country:US
Mailing Address - Phone:770-845-3334
Mailing Address - Fax:
Practice Address - Street 1:450 RAILROAD AVE
Practice Address - Street 2:UNIT 3B
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-3782
Practice Address - Country:US
Practice Address - Phone:770-845-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist