Provider Demographics
NPI:1225153943
Name:SOKOL, STUART JAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:JAY
Last Name:SOKOL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITNEY AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-1220
Mailing Address - Country:US
Mailing Address - Phone:203-777-4200
Mailing Address - Fax:
Practice Address - Street 1:2 WHITNEY AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-1220
Practice Address - Country:US
Practice Address - Phone:203-777-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001754103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical