Provider Demographics
NPI:1912254913
Name:SLAUGHTER & SLAUGHTER THERAPEUTICS, PLLC
Entity Type:Organization
Organization Name:SLAUGHTER & SLAUGHTER THERAPEUTICS, PLLC
Other - Org Name:INTEGRATIVE PSYCHOLOGICAL SERVICES OF SEATTLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-300-2452
Mailing Address - Street 1:3429 FREMONT AVE N STE 317
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8811
Mailing Address - Country:US
Mailing Address - Phone:206-300-2452
Mailing Address - Fax:206-567-1212
Practice Address - Street 1:3429 FREMONT AVE N STE 317
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8811
Practice Address - Country:US
Practice Address - Phone:206-300-2452
Practice Address - Fax:206-567-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60075756103TC0700X
WAPT60265736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty