Provider Demographics
NPI:1518272830
Name:HOFFMAN, BETH GILBERTSON (SLP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:GILBERTSON
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:GILBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCC-SLP
Mailing Address - Street 1:2850 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1004
Mailing Address - Country:US
Mailing Address - Phone:602-266-2976
Mailing Address - Fax:602-467-3408
Practice Address - Street 1:2850 N 24TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1004
Practice Address - Country:US
Practice Address - Phone:602-266-2976
Practice Address - Fax:602-467-3408
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6636235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist