Provider Demographics
NPI:1639107808
Name:HOFFMAN, SUZANNAH MARIE
Entity Type:Individual
Prefix:MS
First Name:SUZANNAH
Middle Name:MARIE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 SHILOH AVE
Mailing Address - Street 2:#406
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3834
Mailing Address - Country:US
Mailing Address - Phone:412-766-8580
Mailing Address - Fax:
Practice Address - Street 1:315 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1213
Practice Address - Country:US
Practice Address - Phone:412-741-2230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART002317A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer