Provider Demographics
NPI:1730740119
Name:HOFFMAN, RACHAEL LYNN (PHD)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LYNN
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 1:1435 MACON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1220
Mailing Address - Country:US
Mailing Address - Phone:724-813-3399
Mailing Address - Fax:
Practice Address - Street 1:1301 S BRADDOCK AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1251
Practice Address - Country:US
Practice Address - Phone:412-206-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018792103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist