Provider Demographics
NPI:1154316552
Name:GALASZEWSKI-SLOTKIN, MARY E (PH D)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:GALASZEWSKI-SLOTKIN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33600 6TH AVENUE SOUTH
Mailing Address - Street 2:SUITE 212
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-2934
Mailing Address - Country:US
Mailing Address - Phone:253-569-7698
Mailing Address - Fax:253-661-9190
Practice Address - Street 1:33600 6TH AVE S
Practice Address - Street 2:SUITE 212
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6743
Practice Address - Country:US
Practice Address - Phone:253-569-7698
Practice Address - Fax:253-661-9190
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1953103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist