Provider Demographics
NPI:1558723510
Name:HOFFMAN, LAUREL (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:LAURI
Other - Middle Name:
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1112 SONOMA DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3779
Mailing Address - Country:US
Mailing Address - Phone:214-725-4830
Mailing Address - Fax:
Practice Address - Street 1:4000 EAGLE PASS
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4705
Practice Address - Country:US
Practice Address - Phone:469-752-4354
Practice Address - Fax:469-752-4301
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19303235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist