Individual
DR. KURT M. HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., HSPP
Contact information
Practice address
130 W MAIN ST, SUITE L, FORT WAYNE, IN 46802-1712
(260) 418-1816
(877) 418-1816
Mailing address
130 W MAIN ST, SUITE L, FORT WAYNE, IN 46802-1712
(260) 418-1816
(877) 418-1816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200802480
—
IN
Enumeration date
03/15/2006
Last updated
02/15/2009
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