Provider Demographics
NPI:1437989126
Name:HOFBAUER, MADISON CHLOE
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:CHLOE
Last Name:HOFBAUER
Suffix:
Gender:F
Credentials:
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 93
Mailing Address - Street 2:
Mailing Address - City:BLAKESLEE
Mailing Address - State:PA
Mailing Address - Zip Code:18610-0093
Mailing Address - Country:US
Mailing Address - Phone:856-669-7906
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 93
Practice Address - Street 2:
Practice Address - City:BLAKESLEE
Practice Address - State:PA
Practice Address - Zip Code:18610-0093
Practice Address - Country:US
Practice Address - Phone:856-669-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist