Provider Demographics
NPI:1831524313
Name:MATTHEW J. HOFFMAN, LMFT, LLC
Entity type:Organization
Organization Name:MATTHEW J. HOFFMAN, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-235-4056
Mailing Address - Street 1:127 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-3835
Mailing Address - Country:US
Mailing Address - Phone:860-235-4056
Mailing Address - Fax:860-395-1897
Practice Address - Street 1:954 MIDDLESEX TPKE
Practice Address - Street 2:SUITE A-2
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1302
Practice Address - Country:US
Practice Address - Phone:860-235-4056
Practice Address - Fax:860-395-1897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty