Provider Demographics
NPI:1972191443
Name:SLOANE, WILLIAM MARTIN (DBA EDD JD PHD DCL)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MARTIN
Last Name:SLOANE
Suffix:
Gender:M
Credentials:DBA EDD JD PHD DCL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2829
Mailing Address - Country:US
Mailing Address - Phone:717-249-1069
Mailing Address - Fax:
Practice Address - Street 1:417 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2829
Practice Address - Country:US
Practice Address - Phone:717-249-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral