Doctor Name: | KIM SMITH SLOSMAN |
NPI Number: | 1558317164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CRC |
License Number: | 001336 |
Business Practice Address: | 1660 Hopkins Rd Suite 103 Getzville, NY - 140681163 |
Business Phone Number: | 7165170270 |
Business Fax Number: | 7166890568 |
Mailing Address: | 261 Highland Dr, WILLIAMSVILLE |
State: | NY |
Postal Code: | 142216856 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |