Brenda Hoffmann, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chandler, AZ
NPI 1780916593 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1780916593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6287 (AZ)
- Practice address
- 4616 W Boston St
Chandler, AZ 85226-4837 - Phone
- (480) 221-2475
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190402002831 | AZ | Practitioner - Qualified Speech Language Pathologist | 2264771039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In My Own Words PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Accessible Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6287 | AZ | Yes |
Addresses
Primary practice location
4616 W Boston St
Chandler, AZ 85226-4837
Mailing address
4616 W Boston St
Chandler, AZ 85226-4837
Phone (480) 221-2475
Other providers in Chandler, AZ
- Tara R Hodges
- Jennifer Hoeppner
- Carl G Hoffman
- Hailee Hoffman
- Justin R Hoffman
- Teresa S Hoffmeyer
- Timothy Alan Hofmann
- Jasmine C Hogan
- Peter D Hogan
- Renee M Hogan
All providers in Chandler, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.