Provider Demographics
NPI:1619122868
Name:SLINGLUFF, TERRY LEE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:LEE
Last Name:SLINGLUFF
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 2ND AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2418
Mailing Address - Country:US
Mailing Address - Phone:814-728-6074
Mailing Address - Fax:814-217-1540
Practice Address - Street 1:315 2ND AVE STE 402
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2418
Practice Address - Country:US
Practice Address - Phone:814-728-6074
Practice Address - Fax:814-217-1540
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW010209L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical