Healthcare Provider Details
I. General information
NPI: 1730954751
Provider Name (Legal Business Name): SLOAN ANN DEMPSTER AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/20/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 W KIMBERLY AVE STE 120
PLACENTIA CA
92870-6345
US
IV. Provider business mailing address
25910 ACERO STE 160
MISSION VIEJO CA
92691-2777
US
V. Phone/Fax
- Phone: 877-527-7227
- Fax:
- Phone: 877-527-7227
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: