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Individual

PAUL EDWARD SLOAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
63 VINE ROAD, STAMFORD, CT 06905-2012
(203) 323-6839
(203) 329-1358
Mailing address
63 VINE ROAD, STAMFORD, CT 06905-2012
(203) 323-6839
(203) 329-1358

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000741
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4493702
AETNA
CT
01
P369105
OXFORD
CT
Enumeration date
06/25/2006
Last updated
07/08/2007
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