Provider Demographics
NPI:1649516121
Name:HOFFMAN, ASHLY PATRICIA (MS)
Entity type:Individual
Prefix:MRS
First Name:ASHLY
Middle Name:PATRICIA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12021 E 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5798
Mailing Address - Country:US
Mailing Address - Phone:509-228-4407
Mailing Address - Fax:509-228-4409
Practice Address - Street 1:12021 E 24TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5798
Practice Address - Country:US
Practice Address - Phone:509-228-4407
Practice Address - Fax:509-228-4409
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA482889C235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12152450OtherASHA
WA482889COtherESA