| Doctor Name: | MS. SANDY WILEY LOFLIN |
| NPI Number: | 1659465276 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I---8835 |
| Business Practice Address: | 8193 Avery Road, Suite 102 Broadview Heights, OH - 441471671 |
| Business Phone Number: | 4407401495 |
| Business Fax Number: | 4407401498 |
| Mailing Address: | 5204 Andover Drive, PARMA |
| State: | OH |
| Postal Code: | 441346129 |
| Phone Number: | 4408459601 |
| Fax Number: | 4407401495 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I---8835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |