Provider Demographics
NPI:1326928805
Name:SLOAN, STEPHEN LEIGH (PH D)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LEIGH
Last Name:SLOAN
Suffix:
Gender:M
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 LAUREL CHASE SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-3967
Mailing Address - Country:US
Mailing Address - Phone:706-473-5757
Mailing Address - Fax:706-473-5757
Practice Address - Street 1:705 LAUREL CHASE SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3967
Practice Address - Country:US
Practice Address - Phone:706-473-5757
Practice Address - Fax:706-473-5757
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001139103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty