Provider Demographics
NPI:1740516137
Name:HOFFMAN, BRIGITTE RENEE (MA)
Entity type:Individual
Prefix:MISS
First Name:BRIGITTE
Middle Name:RENEE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-2602
Mailing Address - Country:US
Mailing Address - Phone:610-588-0744
Mailing Address - Fax:
Practice Address - Street 1:6 BROADWAY
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-2602
Practice Address - Country:US
Practice Address - Phone:610-588-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist