Provider Demographics
NPI:1659580454
Name:VESHINSKI, SLOANE E (PHD, MS, LMFT, CAP)
Entity Type:Individual
Prefix:DR
First Name:SLOANE
Middle Name:E
Last Name:VESHINSKI
Suffix:
Gender:F
Credentials:PHD, MS, LMFT, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6999
Mailing Address - Country:US
Mailing Address - Phone:954-925-1113
Mailing Address - Fax:954-925-1339
Practice Address - Street 1:3325 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6999
Practice Address - Country:US
Practice Address - Phone:954-925-1113
Practice Address - Fax:954-925-1339
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1792L101YA0400X
FLMT-1578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13-4278977OtherTIN