Provider Demographics
NPI:1912931379
Name:SARNOFF, DAVID P (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:SARNOFF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7 GAMECOCK AVE
Mailing Address - Street 2:SUITE 706
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3379
Mailing Address - Country:US
Mailing Address - Phone:843-556-8503
Mailing Address - Fax:843-556-8525
Practice Address - Street 1:7 GAMECOCK AVE
Practice Address - Street 2:SUITE 706
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3379
Practice Address - Country:US
Practice Address - Phone:843-556-8503
Practice Address - Fax:843-556-8525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC338103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ231720281Medicare ID - Type UnspecifiedPROVIDER NUMBER