Koffler, Sandra
Koffler, Sandra is an sole proprietor health care provider with primary practice located at 1518 Walnut St Suite 607, Philadelphia PA 19102-3419. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Koffler, Sandra can be contacted via phone (267) 416-0506.Contact Information
Primary practice address
1518 Walnut St Suite 607
Philadelphia PA 19102-3419
Phone: (267) 416-0506
Fax: (215) 545-2442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PS002520L | Pennsylvania |
Profile Details
| NPI number | 1285679514 |
|---|---|
| LBN Legal business name | Koffler, Sandra |
| Credentials | PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Mar 7th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285679514 | NPPES |
| Pennsylvania | MEDICAID | 001210737 |
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