| E. L. Slater, Lcsw Llc | |
|
6808 Bergenline Avenue Suite 201 Guttenber NJ 07093 | |
| (201) 840-9047 | |
| Not Available |
| Full Name | E. L. Slater, Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6808 Bergenline Avenue, Guttenber, New Jersey |
| Authorized Official Name and Position | Edith Slater (PROVIDER) |
| Authorized Official Contact | 2018409047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E. L. Slater, Lcsw Llc 44 Knox Avenue Cliffside Park NJ 07010 Ph: () - | E. L. Slater, Lcsw Llc 6808 Bergenline Avenue Suite 201 Guttenber NJ 07093 Ph: (201) 840-9047 |
| NPI Number | 1124464862 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124464862 | NPI | - | NPPES |
| 268869 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05453500 (New Jersey) | Primary |