Slayden, Pornphun
Slayden, Pornphun is an individual health care provider with primary practice located at 20 Winooski Falls Way Ste 400 , Winooski VT 05404-2239. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Slayden, Pornphun can be contacted via phone (802) 857-0400.Contact Information
Primary practice address
20 Winooski Falls Way Ste 400
Winooski VT 05404-2239
Phone: (802) 857-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 123258 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 12789279-3902 | Utah |
Profile Details
| NPI number | 1003335654 |
|---|---|
| LBN Legal business name | Slayden, Pornphun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2017 |
| Last updated | Sep 7th, 2022 - about 4 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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