Pornphun Slayden

NPI #1003335654 in Winooski, Vermont

Provider Information

NPI Number: 1003335654
Entity Type: Individual
Name: Pornphun Slayden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Sep 14, 2017
Last Updated: Sep 7, 2022

Practice Location

Address: 20 WINOOSKI FALLS WAY STE 400
City: Winooski
State: Vermont
ZIP Code: 05404-2239
Phone: (802) 857-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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