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Individual

DR. ROBERT SOFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1515 W 29TH ST, THE COVENANT, CLEVELAND, OH 44113-2906
(216) 574-9000
(216) 664-6534
Mailing address
1515 W 29TH ST, THE COVENANT, CLEVELAND, OH 44113-2906
(216) 574-9000
(216) 664-6534

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3600
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0779608
OH
Enumeration date
12/29/2006
Last updated
07/08/2007
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