Provider Demographics
NPI:1831297555
Name:SOIFER PSYD, ELISABETH ANN
Entity Type:Individual
Prefix:
First Name:ELISABETH ANN
Middle Name:
Last Name:SOIFER PSYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S PINE ISLAND RD
Mailing Address - Street 2:SUITE # 241
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2673
Mailing Address - Country:US
Mailing Address - Phone:954-577-0913
Mailing Address - Fax:954-577-0918
Practice Address - Street 1:300 S PINE ISLAND RD
Practice Address - Street 2:SUITE # 241
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2673
Practice Address - Country:US
Practice Address - Phone:954-577-0913
Practice Address - Fax:954-577-0918
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4870103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical