Provider Demographics
NPI:1336926633
Name:SLOAN, MAEVE MARIA O'LEARY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MAEVE
Middle Name:MARIA O'LEARY
Last Name:SLOAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 E MERCER ST STE B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4028
Mailing Address - Country:US
Mailing Address - Phone:206-777-5727
Mailing Address - Fax:
Practice Address - Street 1:4100 SW ALASKA ST STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4527
Practice Address - Country:US
Practice Address - Phone:206-777-5727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61213370101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health