Doctor Name: | WENDY S SLESINSKI |
NPI Number: | 1144378159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0477351R |
Business Practice Address: | 99 Depot Street Pine Bush, NY - 125661562 |
Business Phone Number: | 8457445147 |
Business Fax Number: | 8457448906 |
Mailing Address: | Po Box 1562, PINE BUSH |
State: | NY |
Postal Code: | 125661562 |
Phone Number: | 8457445147 |
Fax Number: | 8457448906 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0477351R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |