Provider Demographics
NPI:1205576881
Name:HOFFMAN BARNHARD, LORI RENEE
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:RENEE
Last Name:HOFFMAN BARNHARD
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:PO BOX 336
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-0336
Mailing Address - Country:US
Mailing Address - Phone:973-839-2700
Mailing Address - Fax:973-839-2701
Practice Address - Street 1:640 NEWARK POMPTON TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1735
Practice Address - Country:US
Practice Address - Phone:973-839-2700
Practice Address - Fax:973-839-2701
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00016200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)