Provider Demographics
NPI:1851484273
Name:JAFFE, SANDRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:
Last Name:JAFFE
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 1:552 N NEVILLE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2855
Mailing Address - Country:US
Mailing Address - Phone:412-681-9577
Mailing Address - Fax:412-621-9923
Practice Address - Street 1:552 N NEVILLE ST
Practice Address - Street 2:SUITE C
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2855
Practice Address - Country:US
Practice Address - Phone:412-681-9577
Practice Address - Fax:412-621-9923
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004048-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist