Provider Demographics
NPI:1629355003
Name:HOFFMANN, ANNE K (PHD, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 ELM ST
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3336
Mailing Address - Country:US
Mailing Address - Phone:847-420-3190
Mailing Address - Fax:
Practice Address - Street 1:912 ELM ST
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-3336
Practice Address - Country:US
Practice Address - Phone:847-420-3190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.9780235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist