Provider Demographics
NPI:1417081548
Name:JOFFE, RANDI SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RANDI
Middle Name:SUE
Last Name:JOFFE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 RHINECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-1620
Mailing Address - Country:US
Mailing Address - Phone:585-244-3186
Mailing Address - Fax:
Practice Address - Street 1:355 RHINECLIFF DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1620
Practice Address - Country:US
Practice Address - Phone:585-244-3186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007777-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical