Doctor Name: | CHRISTINE NOEL SLOCUM |
NPI Number: | 1063573053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP-BC, PMHNP-BC |
License Number: | 26NJ00124700 |
Business Practice Address: | 223 Main St Beacon, NY - 125082770 |
Business Phone Number: | 8458384900 |
Business Fax Number: | 8458384915 |
Mailing Address: | 72 N Fostertown Dr, NEWBURGH |
State: | NY |
Postal Code: | 125508712 |
Phone Number: | 8455613726 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NJ00124700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |