Doctor Name: | MS. SANDRA SLAYTON |
NPI Number: | 1215286471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPC, NCC |
License Number: | |
Business Practice Address: | 201 W Springfield Ave 1005 Champaign, IL - 618206385 |
Business Phone Number: | 2176934918 |
Business Fax Number: | 2175314071 |
Mailing Address: | 201 W Springfield Ave, 1005 CHAMPAIGN |
State: | IL |
Postal Code: | 618206385 |
Phone Number: | 2176934918 |
Fax Number: | 2175314071 |
NPI Enumeration Date: | 09/04/2012 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |