Provider Demographics
NPI:1013052448
Name:HOFFMAN, ELIZABETH H (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:H
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 1:2214 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4624
Mailing Address - Country:US
Mailing Address - Phone:717-761-8523
Mailing Address - Fax:717-761-8525
Practice Address - Street 1:2214 MARKET ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4624
Practice Address - Country:US
Practice Address - Phone:717-761-8523
Practice Address - Fax:717-761-8525
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004346L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
155514MJMMedicare PIN