Provider Demographics
NPI:1528391075
Name:HOFFMAN, ERICA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358 OGDEN ST
Mailing Address - Street 2:APARTMENT 9
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1927
Mailing Address - Country:US
Mailing Address - Phone:720-425-7515
Mailing Address - Fax:
Practice Address - Street 1:1358 OGDEN ST
Practice Address - Street 2:APARTMENT 9
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1927
Practice Address - Country:US
Practice Address - Phone:720-425-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12137429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist