Doctor Name: | BRIAN A SLATER |
NPI Number: | 1356653604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | |
Business Practice Address: | 2134 Mary Sherman Dr Sullivan, IN - 478827625 |
Business Phone Number: | 8122686376 |
Business Fax Number: | |
Mailing Address: | Po Box 4323, TERRE HAUTE |
State: | IN |
Postal Code: | 478040323 |
Phone Number: | 8122318323 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2010 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |