| Doctor Name: | MR. MITCHELL SLOCHOWER |
| NPI Number: | 1154462877 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | LCSW 035574 |
| Business Practice Address: | 14 Woodstock Pl Lake Grove, NY - 117552836 |
| Business Phone Number: | 6314675591 |
| Business Fax Number: | 6314675591 |
| Mailing Address: | 14 Woodstock Pl, LAKE GROVE |
| State: | NY |
| Postal Code: | 117552836 |
| Phone Number: | 6314675591 |
| Fax Number: | 6314675591 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW 035574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |