Vikki Gordon Slis in Lindenhurst - Clinical

Vikki Gordon Slis - NPI 1790846731

Vikki Gordon Slis is a Clinical in Lindenhurst, New York. Vikki Gordon Slis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Vikki Gordon Slis is 1790846731. The last update date is 2011-01-21.

Vikki Gordon Slis's current location address is 291 Sunrise Hwy, Lindenhurst, New York. You can contact this provider via phone number 6318841503 and fax number 6317388039. The mailing address for Vikki Gordon Slis is 291 Sunrise Hwy, Lindenhurst, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Vikki Gordon Slis
Address 291 Sunrise Hwy, Lindenhurst, New York
Phone Number 6318841503
Fax Number 6317388039
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1790846731
Provider Enumeration Date 2006-12-13
Last Updated Date 2011-01-21

Provider Mailing Address Detail

Address 291 Sunrise Hwy
City Lindenhurst
State New York (NY)
Post Code 117572518
Phone Number 6318841503
Fax Number 6317388039

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 51451
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
99830 NY VALUE OPTIONS
5145 NY HIP
P370311 NY OXFORD
28790 NY GHI

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FAQs about Vikki Gordon Slis

What is the unique 10-digit identifier code issued to Vikki Gordon Slis by the Centers for Medicare & Medicaid Services?

The Vikki Gordon Slis has been assigned the NPI (National Provider Identifier) 1790846731 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Vikki Gordon Slis's facilities are geographically located?

The facilities of Vikki Gordon Slis are physically situated at the following location: 291 Sunrise Hwy, Lindenhurst, NY, 117572518.

What is the Vikki Gordon Slis's specialty and taxonomy code?

The Vikki Gordon Slis's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790846731 to Vikki Gordon Slis?

The Vikki Gordon Slis received its 1790846731 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.

As of what date was the information regarding Vikki Gordon Slis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vikki Gordon Slis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-21.

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