Doctor Name: | DEBBIE LYNN SLATER |
NPI Number: | 1003932526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801063951 |
Business Practice Address: | 4660 Marsh Rd Ste. 22 Okemos, MI - 488642143 |
Business Phone Number: | 5173493090 |
Business Fax Number: | 5173477892 |
Mailing Address: | 4660 Marsh Rd, Ste. 22 OKEMOS |
State: | MI |
Postal Code: | 488642143 |
Phone Number: | 5173493090 |
Fax Number: | 5173477892 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801063951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |