DR. Michael Byron Slack, PH.D
NPI #1104939222 in Travis Afb, California
Provider Information
- NPI Number
- 1104939222
- Entity Type
- Individual
- Name
- DR. Michael Byron Slack, PH.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- PH.D
- Enumeration Date
- Aug 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 BODIN CIR
- Address 2
- DAVID GRANT MEDICAL CENTER
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-3811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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