Provider Demographics
NPI:1932198744
Name:HOFMANN, TIMOTHY ALAN (MC, LPC)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ALAN
Last Name:HOFMANN
Suffix:
Gender:M
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 N ARIZONA AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-7168
Mailing Address - Country:US
Mailing Address - Phone:480-813-2650
Mailing Address - Fax:480-813-2590
Practice Address - Street 1:3150 N ARIZONA AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7168
Practice Address - Country:US
Practice Address - Phone:480-813-2650
Practice Address - Fax:480-813-2590
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1417101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional