Provider Demographics
NPI:1891207924
Name:DAVIDOFF, PHILIP CRAIG
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:CRAIG
Last Name:DAVIDOFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13859B VIA AURORA
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:215-439-2596
Mailing Address - Fax:561-431-6350
Practice Address - Street 1:13859B VIA AURORA
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:215-439-2596
Practice Address - Fax:561-431-6350
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist