Doctor Name: | MS. ANGELA SLABAUGH |
NPI Number: | 1013374776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | 21189594 |
Business Practice Address: | 239 Portage St Nw North Canton, OH - 447202737 |
Business Phone Number: | 3304975665 |
Business Fax Number: | |
Mailing Address: | 239 Portage St Nw, NORTH CANTON |
State: | OH |
Postal Code: | 447202737 |
Phone Number: | 3304975665 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 21189594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |