Provider Demographics
NPI:1437240561
Name:SLOAN, DENISE MAY (PHD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MAY
Last Name:SLOAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:23 FALES RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1085
Mailing Address - Country:US
Mailing Address - Phone:781-366-5332
Mailing Address - Fax:
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:NATIONAL CENTER FOR PTSD (116B-2), VA BOSTON HEALTHCARE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-6333
Practice Address - Fax:857-364-4501
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAMA-9101103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical