Doctor Name: | MRS. MERRILY M SLOAN |
NPI Number: | 1023108404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RC00049944 |
Business Practice Address: | 1100 S.2nd Street Mount Vernon, WA - 98273 |
Business Phone Number: | 3604193500 |
Business Fax Number: | 3604193505 |
Mailing Address: | 21746 Swan Rd, MOUNT VERNON |
State: | WA |
Postal Code: | 982738455 |
Phone Number: | 3604248415 |
Fax Number: | 3604248415 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00049944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |