Doctor Name: | DR. ANNETTE SIMS SLATER |
NPI Number: | 1295847820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C5305 |
Business Practice Address: | 1100 N University Ave Suite 200 Little Rock, AR - 722076343 |
Business Phone Number: | 5016869300 |
Business Fax Number: | |
Mailing Address: | 1501 N University Ave, Suite 330 LITTLE ROCK |
State: | AR |
Postal Code: | 722075242 |
Phone Number: | 5016869300 |
Fax Number: | 5014292246 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | C5305 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |