Provider Demographics
NPI:1467296384
Name:HOFFMAN, TODD (PHD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:TUVIA
Other - Middle Name:
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:11779 CARACAS BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-4081
Mailing Address - Country:US
Mailing Address - Phone:561-270-4251
Mailing Address - Fax:
Practice Address - Street 1:11779 CARACAS BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-4081
Practice Address - Country:US
Practice Address - Phone:561-270-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12280103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical