Slack, David Lewis

Slack, David Lewis is an sole proprietor health care provider with primary practice located at 10,000 Bay Pines Blvd. , Bay Pines FL 33744. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Slack, David Lewis can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10,000 Bay Pines Blvd. Bay Pines FL 33744
Phone: (727) 398-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY5032 Florida
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PY5032 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY5032 Florida
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY5032 Florida

Profile Details

NPI number 1558476861
LBN Legal business name Slack, David Lewis
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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