Provider Demographics
NPI:1831599273
Name:SLONE, ATALIE
Entity type:Individual
Prefix:
First Name:ATALIE
Middle Name:
Last Name:SLONE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ATALIE
Other - Middle Name:G
Other - Last Name:SLONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMP
Mailing Address - Street 1:2422 VINING ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-4268
Mailing Address - Country:US
Mailing Address - Phone:360-383-6647
Mailing Address - Fax:
Practice Address - Street 1:2422 VINING ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-4268
Practice Address - Country:US
Practice Address - Phone:360-383-6647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60477345171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter