Healthcare Provider Details

I. General information

NPI: 1215545215
Provider Name (Legal Business Name): WOLDOFF AND ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2020
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SHEPPARD RD SUITE 703
VOORHEES NJ
08043
US

IV. Provider business mailing address

615 WALNUT AVE
LAUREL SPRINGS NJ
08021-3049
US

V. Phone/Fax

Practice location:
  • Phone: 484-904-7499
  • Fax:
Mailing address:
  • Phone: 484-904-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH WOLDOFF
Title or Position: NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 484-904-7499