Doctor Name: | DR. CAROL ANN SLATTERY |
NPI Number: | 1619258324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, LCSW |
License Number: | 078466 |
Business Practice Address: | 620 Route 303 Blauvelt, NY - 109131170 |
Business Phone Number: | 8453532730 |
Business Fax Number: | 8453532358 |
Mailing Address: | 36 Seven Oaks Ln, NANUET |
State: | NY |
Postal Code: | 109543523 |
Phone Number: | 8458251199 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2011 |
NPI Last Update Date: | 06/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 078466 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |