Provider Demographics
NPI:1255482337
Name:SLOAN, STEPHANIE ANN (PSYD)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ANN
Last Name:SLOAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:ANN
Other - Last Name:SLOAN-KAPRAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:8 DENISON PARKWAY EAST SUITE 305
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2644
Mailing Address - Country:US
Mailing Address - Phone:607-936-1771
Mailing Address - Fax:607-936-2648
Practice Address - Street 1:8 DENISON PARKWAY EAST SUITE 305
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2644
Practice Address - Country:US
Practice Address - Phone:607-936-1771
Practice Address - Fax:607-936-2648
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016085103T00000X
NY016085-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist