Provider Demographics
NPI:1669699419
Name:SLAUGHTER, GINNY ROBIN (SLP)
Entity type:Individual
Prefix:MS
First Name:GINNY
Middle Name:ROBIN
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2506 FOREST POINT DR
Mailing Address - Street 2:#409
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3039
Mailing Address - Country:US
Mailing Address - Phone:817-385-0818
Mailing Address - Fax:817-385-0818
Practice Address - Street 1:1353 N WESTMORELAND RD
Practice Address - Street 2:BUILDING F
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1655
Practice Address - Country:US
Practice Address - Phone:214-333-7052
Practice Address - Fax:214-333-7097
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist