Provider Demographics
NPI:1275882821
Name:SLAY, DANA LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:LEE
Last Name:SLAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 S WESTMORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3902
Mailing Address - Country:US
Mailing Address - Phone:213-738-7283
Mailing Address - Fax:
Practice Address - Street 1:601 S WESTMORELAND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-3902
Practice Address - Country:US
Practice Address - Phone:213-738-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical