Provider Demographics
NPI:1902206543
Name:HOFFMAN, ROBYN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 PEBBLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ETNA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8944
Mailing Address - Country:US
Mailing Address - Phone:614-332-6267
Mailing Address - Fax:
Practice Address - Street 1:190 PEBBLE CREEK DR
Practice Address - Street 2:
Practice Address - City:ETNA
Practice Address - State:OH
Practice Address - Zip Code:43062-8944
Practice Address - Country:US
Practice Address - Phone:614-332-6267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4365103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic