Provider Demographics
NPI:1689756009
Name:SLUDER, MABEL LITTLETON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MABEL
Middle Name:LITTLETON
Last Name:SLUDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8554 ODYSSEY DR
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-2654
Mailing Address - Country:US
Mailing Address - Phone:210-659-5396
Mailing Address - Fax:
Practice Address - Street 1:12500 NW MILITARY HWY
Practice Address - Street 2:SUITE #250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1871
Practice Address - Country:US
Practice Address - Phone:210-302-6920
Practice Address - Fax:210-302-6952
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health