Slane, Mylissa Mary

Slane, Mylissa Mary is an individual health care provider with primary practice located at 2801 Grant Ave , Philadelphia PA 19114-1032. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Slane, Mylissa Mary can be contacted via phone (215) 878-3400.

Contact Information

Primary practice address
2801 Grant Ave Philadelphia PA 19114-1032
Phone: (215) 878-3400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1932753035
LBN Legal business name Slane, Mylissa Mary
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2019
Last updated Jan 19th, 2023 - about 2 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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