| Stacey Slate PLLC | |
|
875 Massachusetts Ave Cambridge MA 02139-3067 | |
| (617) 575-9238 | |
| Not Available |
| Full Name | Stacey Slate PLLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 875 Massachusetts Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Stacey Slate (OWNER) |
| Authorized Official Contact | 6175759238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Slate PLLC 48 Teel St Apt 2 Arlington MA 02474-5536 | Stacey Slate PLLC 875 Massachusetts Ave Cambridge MA 02139-3067 Ph: (617) 575-9238 |
| NPI Number | 1114533312 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114533312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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