Individual
AUTUMN SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24800 S 4420 RD, VINITA, OK 74301-5544
(918) 256-7841
Mailing address
14502 E 110TH ST N, OWASSO, OK 74055-5998
(903) 243-8645
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1439
OK
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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