Doctor Name: | TRAKISHA SLAUGHTER |
NPI Number: | 1154626612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 11428 N 53rd St Temple Terrace, FL - 336172216 |
Business Phone Number: | 8133749416 |
Business Fax Number: | |
Mailing Address: | 18913 Duquesne Dr, TAMPA |
State: | FL |
Postal Code: | 336473424 |
Phone Number: | 8133749416 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |