Individual
SUELLYN VANDERSLICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1202 CHRISTEL AVE, PANAMA CITY, FL 32401-2030
(850) 785-5325
(904) 212-0170
Mailing address
1202 CHRISTEL AVE, PANAMA CITY, FL 32401-2030
(850) 785-5325
(904) 212-0170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 4182
FL
Other
Enumeration date
12/22/2006
Last updated
09/27/2013
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