Provider Demographics
NPI:1639198195
Name:HOFFMAN, BARBARA J (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MONROE DR APT 214
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-1075
Mailing Address - Country:US
Mailing Address - Phone:650-917-1625
Mailing Address - Fax:
Practice Address - Street 1:1057 EL MONTE AVE
Practice Address - Street 2:STE D
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2369
Practice Address - Country:US
Practice Address - Phone:650-625-8850
Practice Address - Fax:650-625-8850
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31679106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT316790Medicare UPIN
CAMFT316791Medicare UPIN