Slade, Sue Anne
Slade, Sue Anne is an sole proprietor health care provider with primary practice located at 15418 Main Street Suite 301, Mill Creek WA 98012-7361. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slade, Sue Anne can be contacted via phone (425) 385-3262.Contact Information
Primary practice address
15418 Main Street Suite 301
Mill Creek WA 98012-7361
Phone: (425) 385-3262
Fax: (425) 357-0924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00001198 | Washington |
Profile Details
| NPI number | 1124196951 |
|---|---|
| LBN Legal business name | Slade, Sue Anne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124196951 | NPPES |
| Washington | MEDICAID | 7053416 |
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