Provider Demographics
NPI:1538837216
Name:HOFFMAN, BETH ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:HOFFMAN
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:PO BOX 1108
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:CA
Mailing Address - Zip Code:94937-1108
Mailing Address - Country:US
Mailing Address - Phone:415-223-3973
Mailing Address - Fax:
Practice Address - Street 1:550 ABERDEEN WAY 1108
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:CA
Practice Address - Zip Code:94937-1108
Practice Address - Country:US
Practice Address - Phone:415-223-3973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist