Provider Demographics
NPI:1245013671
Name:SLOAN, MARK (MFT)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5929 FASHION POINT DR
Mailing Address - Street 2:STE 210
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4683
Mailing Address - Country:US
Mailing Address - Phone:385-333-4703
Mailing Address - Fax:
Practice Address - Street 1:5929 FASHION POINT DR
Practice Address - Street 2:STE 210
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4683
Practice Address - Country:US
Practice Address - Phone:385-333-4703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13965943-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist