Doctor Name: | MS. KATHLEEN M SLAMMON |
NPI Number: | 1225180250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | R04988 1 |
Business Practice Address: | 552 Linden Ave East Aurora, NY - 140522915 |
Business Phone Number: | 7163412699 |
Business Fax Number: | |
Mailing Address: | 99 Center St, EAST AURORA |
State: | NY |
Postal Code: | 140522205 |
Phone Number: | 7163412699 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | R04988 1 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |