Provider Demographics
NPI:1639256134
Name:SLAUGHTER, SHEILA RULANDER (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RULANDER
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2658
Mailing Address - Country:US
Mailing Address - Phone:330-922-4773
Mailing Address - Fax:
Practice Address - Street 1:2550 4TH ST
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2658
Practice Address - Country:US
Practice Address - Phone:330-922-4773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08009171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor