Slaughter, Stacy L

Slaughter, Stacy L is an individual health care provider with primary practice located at 1015 S Broadway Ste 18 , Minot ND 58701-4667. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Slaughter, Stacy L can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Ste 18 Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 404 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1356473409
LBN Legal business name Slaughter, Stacy L
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 20th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356473409 NPPES
North Dakota Other 029122 BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 054517 BLUE CROSS BLUE SHIELD

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