Provider Demographics
NPI:1497930762
Name:HOFSTRA, LYNDI SUE (BS HIS)
Entity Type:Individual
Prefix:MS
First Name:LYNDI
Middle Name:SUE
Last Name:HOFSTRA
Suffix:
Gender:F
Credentials:BS HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12705 SO RIDGELAND AVE
Mailing Address - Street 2:HOFSTRA FAMILY HEARING
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-385-9402
Mailing Address - Fax:708-385-9403
Practice Address - Street 1:12705 S RIDGELAND AVE
Practice Address - Street 2:HOFSTRA FAMILY HEARING
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-385-9402
Practice Address - Fax:708-385-9403
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2898237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist