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Individual

HAROLD D SLAUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
431 S RALEIGH STREET, MARTINSBURG, WV 25401
(304) 263-9095
(304) 263-9097
Mailing address
431 S RALEIGH STREET, MARTINSBURG, WV 25401
(304) 263-9095
(304) 263-9097

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
202
WV
103TS0200X
School Psychologist
22004
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000547071
BLUE CROSS BLUE SHIELD
WV
05
0165399000
WV
Enumeration date
11/02/2006
Last updated
11/17/2008
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