| Erin Slattery, Licensed Clinical Social Worker, Pc Corp | |
|
8666 Blythe Ave Orangevale CA 95662 | |
| (916) 312-1845 | |
| Not Available |
| Full Name | Erin Slattery, Licensed Clinical Social Worker, Pc Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 8666 Blythe Ave, Orangevale, California |
| Authorized Official Name and Position | Erin Slattery (OWNER/THERAPIST) |
| Authorized Official Contact | 9163121845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Slattery, Licensed Clinical Social Worker, Pc Corp 8666 Blythe Ave Orangevale CA 95662 Ph: (916) 312-1845 | Erin Slattery, Licensed Clinical Social Worker, Pc Corp 8666 Blythe Ave Orangevale CA 95662 Ph: (916) 312-1845 |
| NPI Number | 1689396608 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 4789054958 |
|---|---|
| Medicare Enrollment ID | O20230104001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689396608 | NPI | - | NPPES |
| Provider Name | Erin C Slattery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124103346 PECOS PAC ID: 3072944735 Enrollment ID: I20200727003309 |
| Provider Name | Teshana N James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386313252 PECOS PAC ID: 0840636056 Enrollment ID: I20240311001915 |
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