Provider Demographics
NPI:1194162735
Name:SCIANDRA, STEFFANIE LYNN (PHD)
Entity type:Individual
Prefix:
First Name:STEFFANIE
Middle Name:LYNN
Last Name:SCIANDRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 LONG BOW LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-6464
Mailing Address - Country:US
Mailing Address - Phone:727-744-8270
Mailing Address - Fax:
Practice Address - Street 1:1680 LONG BOW LN
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-6464
Practice Address - Country:US
Practice Address - Phone:727-744-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8760103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist