Provider Demographics
NPI:1164761623
Name:ROFFMAN, SABRINA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:
Last Name:ROFFMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S AMUNDSEN LN
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7518
Mailing Address - Country:US
Mailing Address - Phone:845-367-1660
Mailing Address - Fax:800-863-2384
Practice Address - Street 1:8 S AMUNDSEN LN
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10901-7518
Practice Address - Country:US
Practice Address - Phone:845-367-1660
Practice Address - Fax:800-863-2384
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8057471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health