Provider Demographics
NPI:1851662399
Name:SLASKA, MARGARET (LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SLASKA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:SLASKA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3636 5TH AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4281
Mailing Address - Country:US
Mailing Address - Phone:619-786-6222
Mailing Address - Fax:619-786-6222
Practice Address - Street 1:3636 5TH AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-4281
Practice Address - Country:US
Practice Address - Phone:619-786-6222
Practice Address - Fax:619-786-6222
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89883106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist