Provider Demographics
NPI:1972553147
Name:SCLAN, STEVEN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:SCLAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1041 IVES DAIRY RD
Mailing Address - Street 2:BLDG 5, SUITE 138
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2539
Mailing Address - Country:US
Mailing Address - Phone:305-534-5316
Mailing Address - Fax:305-538-5184
Practice Address - Street 1:1041 IVES DAIRY RD
Practice Address - Street 2:BLDG 5, SUITE 138
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2539
Practice Address - Country:US
Practice Address - Phone:305-534-5316
Practice Address - Fax:305-538-5184
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY6845103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical