Provider Demographics
NPI:1316227390
Name:SARFF, LEN LANGFORD (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEN
Middle Name:LANGFORD
Last Name:SARFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 S 4TH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8573
Mailing Address - Country:US
Mailing Address - Phone:928-246-5284
Mailing Address - Fax:928-276-4365
Practice Address - Street 1:2450 S 4TH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8573
Practice Address - Country:US
Practice Address - Phone:928-246-5284
Practice Address - Fax:928-276-4365
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4213103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ149741OtherMEDICARE
AZ639816Medicaid