Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersSANDRA KOFFLER PHD.
Clinical Neuropsychologist
Philadelphia, Pennsylvania
Provider NPI: 1285679514
Provider Information:SANDRA KOFFLER PHD.
Gender: F
Sole Proprietor
Practice Location:
1518 WALNUT ST SUITE 607 PHILADELPHIA, PA 19102 US
Tel: 267-416-0506 Fax: 215-545-2442
Business Mailing Address:
1518 WALNUT ST SUITE 607 PHILADELPHIA, PA 19102 US
Tel: 267-416-0506 Fax: 215-545-2442
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | PA | PS002520L |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 001210737 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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