Pornphun Slayden, is a
Marriage & Family Therapist based in Winooski, Vermont. Pornphun Slayden is licensed to practice in Utah (license number 12789279-3902) and her current practice location is
20 Winooski Falls Way Ste 400, Winooski, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 857-0400.
NPI number for Pornphun Slayden is 1003335654 and her current mailing address is 15305 Rayen St, North Hills, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003335654.
Healthcare Provider's Profile
Full Name | Pornphun Slayden |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 20 Winooski Falls Way Ste 400, Winooski, Vermont |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003335654
- Provider Enumeration Date: 09/14/2017
- Last Update Date: 09/07/2022
Medical Identifiers
Medical identifiers for Pornphun Slayden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003335654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 123258 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 12789279-3902 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pornphun Slayden is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pornphun Slayden, 15305 Rayen St, North Hills, CA 91343-5117 Ph: (818) 892-3423 | Pornphun Slayden, 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239 Ph: (802) 857-0400 |
Reviews and Comments