Doctor Name: | RICHARD SLATER |
NPI Number: | 1265558456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | SL000114L |
Business Practice Address: | 352 East Center Ave Mooresville, NC - 281152591 |
Business Phone Number: | 7046633448 |
Business Fax Number: | 7046605158 |
Mailing Address: | 12411 Meetinghouse Dr, CORNELIUS |
State: | NC |
Postal Code: | 280318243 |
Phone Number: | 4126514727 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL000114L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |