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Organization

VIRGINIA SLOAN, PHD

Active
Parent organization
VIRGINIA SLOAN, PHD
Organization subpart
Yes

Provider details

NPI number
Legal business name
VIRGINIA SLOAN, PHD
Authorized official
VIRGINIA W SLOAN PHD (LICENSED PSYCHOLOGIST/OWNER)
(352) 283-9409
Entity
Organization

Contact information

Practice address
1505 NW 16TH AVE, GAINESVILLE, FL 32605-4036
(352) 283-9409
(352) 377-3193
Mailing address
PO BOX 358857, GAINESVILLE, FL 32635-8857
(352) 283-9409
(352) 377-3193

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5712
FL

Other

Enumeration date
05/27/2014
Last updated
05/27/2014
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