Provider Demographics
NPI:1306066832
Name:SOKOLOF, MARILYN TOBY (PHD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:TOBY
Last Name:SOKOLOF
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 1:3021 SW 27TH AVE
Mailing Address - Street 2:BLDG 1
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0105
Mailing Address - Country:US
Mailing Address - Phone:352-237-3440
Mailing Address - Fax:252-237-4381
Practice Address - Street 1:3021 SW 27TH AVE
Practice Address - Street 2:BLDG 1
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0105
Practice Address - Country:US
Practice Address - Phone:352-237-3440
Practice Address - Fax:252-237-4381
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003146103T00000X
VA0810000724103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist