Individual
DR. SUE ANNE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012-7361
(425) 385-3262
(425) 357-0924
Mailing address
15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012-7361
(425) 385-3262
(425) 357-0924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7053416
—
WA
Enumeration date
12/01/2006
Last updated
07/09/2007
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