Provider Demographics
NPI:1851583678
Name:HOFFMAN, ANITA LOUISE (MS-CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:LOUISE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS-CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16982 E PINE RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NE
Mailing Address - Zip Code:68381-8024
Mailing Address - Country:US
Mailing Address - Phone:402-461-6619
Mailing Address - Fax:
Practice Address - Street 1:16982 E PINE RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NE
Practice Address - Zip Code:68381-8024
Practice Address - Country:US
Practice Address - Phone:402-461-6619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE819235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist