Provider Demographics
NPI:1346433380
Name:SLAUGHTER, TERRI R (LPC)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:R
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 52131
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-2131
Mailing Address - Country:US
Mailing Address - Phone:806-355-4673
Mailing Address - Fax:
Practice Address - Street 1:6900 I-40 W
Practice Address - Street 2:SUITE 295
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2507
Practice Address - Country:US
Practice Address - Phone:806-355-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19832101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor