| Doctor Name: | DR. JONATHAN H. SLAVIN |
| NPI Number: | 1922164508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 801 |
| Business Practice Address: | 1234 Walnut St Newton Highlands, MA - 024611829 |
| Business Phone Number: | 6175276972 |
| Business Fax Number: | |
| Mailing Address: | 1234 Walnut St, NEWTON HIGHLANDS |
| State: | MA |
| Postal Code: | 024611829 |
| Phone Number: | 6175276972 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 801 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |