| Doctor Name: | STEPHANIE SAKLAD |
| NPI Number: | 1609230267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, ATR-BC, LCAT |
| License Number: | USER ID (UID) -NPI N |
| Business Practice Address: | 1976 Grand Ave North Baldwin, NY - 115102813 |
| Business Phone Number: | 5162958714 |
| Business Fax Number: | |
| Mailing Address: | 7835 147th St, Apt 1e FLUSHING |
| State: | NY |
| Postal Code: | 113673523 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2016 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | USER ID (UID) -NPI N |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |