Provider Demographics
NPI:1609911635
Name:COIFFMAN-YOHROS, SANDRA (PSYD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:COIFFMAN-YOHROS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19300 W DIXIE HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2201
Mailing Address - Country:US
Mailing Address - Phone:305-936-8960
Mailing Address - Fax:305-936-8961
Practice Address - Street 1:19300 W DIXIE HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-2201
Practice Address - Country:US
Practice Address - Phone:305-936-8960
Practice Address - Fax:305-936-8961
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7077103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77825OtherBCBSF PROVIDER NUMBER
FL75429OtherBCBSF INDIVIDUAL PROVIDER
FL77825OtherBCBSF PROVIDER NUMBER
FLK9251Medicare ID - Type UnspecifiedGROUP IDENTIFICATION
FLU6754ZMedicare ID - Type UnspecifiedPROVIDER NUMBER