Provider Demographics
NPI:1609006907
Name:HOFFMAN, MARIEANNE (SLP)
Entity Type:Individual
Prefix:
First Name:MARIEANNE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:MARIEANNE
Other - Middle Name:SPERANDIO
Other - Last Name:CYNOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:1095 PINGREE RD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-1725
Mailing Address - Country:US
Mailing Address - Phone:847-458-8890
Mailing Address - Fax:847-458-8889
Practice Address - Street 1:1320 WYNNFIELD DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-6055
Practice Address - Country:US
Practice Address - Phone:847-458-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009743235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist