Provider Demographics
NPI:1598009870
Name:SLATON, SIOBHAN DISHAI (LCSW)
Entity Type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:DISHAI
Last Name:SLATON
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 1:3516 DAY DAWN ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6397
Mailing Address - Country:US
Mailing Address - Phone:775-354-3839
Mailing Address - Fax:
Practice Address - Street 1:3516 DAY DAWN ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6397
Practice Address - Country:US
Practice Address - Phone:775-354-3839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8179-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical