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NPI Code Detail

MEDICARE: DR. SANDRA JAFFE PHD

MEDICARE:  DR. SANDRA  JAFFE  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPS004048-LPA

General Provider Information

NPI Number : 1851484273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA JAFFE PHD
Provider Business Mailing Address
First Line : 552 N NEVILLE ST
Second Line : SUITE C
City : PITTSBURGH
State : PA
Zip : 15213-2855
Country : US
Telephone Number : 412-681-9577
Fax Number : 412-621-9923
Provider Business Practice Location Address
First Line : 552 N NEVILLE ST
Second Line : SUITE C
City : PITTSBURGH
State : PA
Zip : 15213-2855
Country : US
Telephone Number : 412-681-9577
Fax Number : 412-621-9923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SANDRA JAFFE PHD” Practice Location

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