Slavkin, Stacey Lynn
Slavkin, Stacey Lynn is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Road, Burlington MA 01805-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slavkin, Stacey Lynn can be contacted via phone (781) 744-8869.Contact Information
Primary practice address
Lahey Clinic 41 Mall Road
Burlington MA 01805-0001
Phone: (781) 744-8869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6505 | Massachusetts |
Profile Details
| NPI number | 1639191216 |
|---|---|
| LBN Legal business name | Slavkin, Stacey Lynn |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Nov 22nd, 2010 - about 16 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 | 1639191216 | NPPES |
| Massachusetts | MEDICAID | 110023798A |
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