Provider Demographics
NPI:1790995629
Name:SOKOLL, STEVEN MARC (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARC
Last Name:SOKOLL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1723
Mailing Address - Country:US
Mailing Address - Phone:610-649-4511
Mailing Address - Fax:
Practice Address - Street 1:320 QUARRY LN
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1723
Practice Address - Country:US
Practice Address - Phone:610-649-4511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041152E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry