Healthcare Provider Details

I. General information

NPI: 1326165655
Provider Name (Legal Business Name): ALAN A JAFFE PHD & ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 CORAL RIDGE DR
CORAL SPRINGS FL
33071-4180
US

IV. Provider business mailing address

807 CORAL RIDGE DR
CORAL SPRINGS FL
33071-4180
US

V. Phone/Fax

Practice location:
  • Phone: 954-755-0909
  • Fax: 954-755-5692
Mailing address:
  • Phone: 954-755-0909
  • Fax: 954-755-5692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY3317
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY3317
License Number StateFL

VIII. Authorized Official

Name: SCOTT JAFFE
Title or Position: VICE PRESIDENT
Credential:
Phone: 954-501-4517