Provider Demographics
NPI:1619108495
Name:SLUPSKI, SHARLA LYNNETTE (BA)
Entity Type:Individual
Prefix:MRS
First Name:SHARLA
Middle Name:LYNNETTE
Last Name:SLUPSKI
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 AIRLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-2912
Mailing Address - Country:US
Mailing Address - Phone:757-615-1748
Mailing Address - Fax:757-488-9564
Practice Address - Street 1:2404 AIRLINE BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-2912
Practice Address - Country:US
Practice Address - Phone:757-615-1748
Practice Address - Fax:757-488-9564
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor