Individual
CHARLES B SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8115 EAST DANIELS LOOP, MANCHESTER, WA 98353-0716
(360) 871-5407
Mailing address
PO BOX 716, MANCHESTER, WA 98353-0716
(360) 871-5407
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000268
WA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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