Provider Demographics
NPI:1760642169
Name:SCIAMANO, STEPHANIA ARADYA (ND)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIA
Middle Name:ARADYA
Last Name:SCIAMANO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:ANNE
Other - Last Name:BETHUNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:145 LIBERTY ST
Mailing Address - Street 2:C5
Mailing Address - City:PAWCATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06379-1538
Mailing Address - Country:US
Mailing Address - Phone:860-495-5691
Mailing Address - Fax:860-495-5769
Practice Address - Street 1:145 LIBERTY ST
Practice Address - Street 2:C5
Practice Address - City:PAWCATUCK
Practice Address - State:CT
Practice Address - Zip Code:06379-1538
Practice Address - Country:US
Practice Address - Phone:860-495-5691
Practice Address - Fax:860-495-5769
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI177175F00000X
CT175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath