Slavin, Audrey Lee

Slavin, Audrey Lee is an individual health care provider with primary practice located at 2580 Potters Rd , Virginia Beach VA 23454-4324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slavin, Audrey Lee can be contacted via phone (757) 498-9391.

Contact Information

Primary practice address
2580 Potters Rd Virginia Beach VA 23454-4324
Phone: (757) 498-9391
Fax: (757) 498-7073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001979 Virginia

Profile Details

NPI number 1144272204
LBN Legal business name Slavin, Audrey Lee
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 16th, 2013 - about 11 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 1144272204 NPPES
Virginia Other O88467 SENTARA/OPTIMA HEALTH INS
Virginia MEDICAID 007714645 SENTARA/OPTIMA HEALTH INS
Virginia Other 463460 SENTARA/OPTIMA HEALTH INS

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