| Doctor Name: | DR. SUE ANNE SLADE |
| NPI Number: | 1124196951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PY00001198 |
| Business Practice Address: | 15418 Main Street Suite 301 Mill Creek, WA - 980127361 |
| Business Phone Number: | 4253853262 |
| Business Fax Number: | 4253570924 |
| Mailing Address: | 15418 Main Street, Suite 301 MILL CREEK |
| State: | WA |
| Postal Code: | 980127361 |
| Phone Number: | 4253853262 |
| Fax Number: | 4253570924 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00001198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |