Doctor Name: | ELIZABETH SLATTERY |
NPI Number: | 1033210919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN498312 |
Business Practice Address: | 3830 W Flagler St Coral Gables, FL - 331341604 |
Business Phone Number: | 3057743626 |
Business Fax Number: | 3057743636 |
Mailing Address: | 11031 Ne 6th Ave, MIAMI |
State: | FL |
Postal Code: | 331617182 |
Phone Number: | 3053986100 |
Fax Number: | 3057574465 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | RN498312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |