Provider Demographics
NPI:1518222124
Name:HOFFMAN, DANA L (R-LCSW)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:R-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 HUMPHREY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4009
Mailing Address - Country:US
Mailing Address - Phone:716-807-3565
Mailing Address - Fax:716-807-3524
Practice Address - Street 1:175 HUMPHREY ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4009
Practice Address - Country:US
Practice Address - Phone:716-807-3565
Practice Address - Fax:716-807-3524
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist