Provider Demographics
NPI:1780757559
Name:HOFMANN, BARBARA (PHD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:HOFMANN
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 1:650 E BIG BEAVER RD STE A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1432
Mailing Address - Country:US
Mailing Address - Phone:248-761-1411
Mailing Address - Fax:248-519-1201
Practice Address - Street 1:650 E BIG BEAVER RD STE A
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1432
Practice Address - Country:US
Practice Address - Phone:248-761-1411
Practice Address - Fax:248-519-1201
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service