Provider Demographics
NPI:1508125188
Name:SLOAN, JAMIE DEARE (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:DEARE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 OAKVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1508
Mailing Address - Country:US
Mailing Address - Phone:412-480-8706
Mailing Address - Fax:724-337-3762
Practice Address - Street 1:130 OAKVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1508
Practice Address - Country:US
Practice Address - Phone:412-480-8706
Practice Address - Fax:724-337-3762
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional