Provider Demographics
NPI:1659980704
Name:DIANA L. SLAVIERO, PH.D., P.C.
Entity Type:Organization
Organization Name:DIANA L. SLAVIERO, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLAVIERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-405-8633
Mailing Address - Street 1:75 EXECUTIVE DR STE 429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8112
Mailing Address - Country:US
Mailing Address - Phone:630-405-8633
Mailing Address - Fax:630-225-5322
Practice Address - Street 1:75 EXECUTIVE DR STE 429
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8112
Practice Address - Country:US
Practice Address - Phone:630-405-8633
Practice Address - Fax:630-225-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty