Individual
MRS. GAYLE LINDSAY SLATEN HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., MFT
Contact information
Practice address
209 W HERRON BOULEVARD KP N, LAKEBAY, WA 98349-8186
(916) 783-7254
(253) 884-1248
Mailing address
209 W HERRON BOULEVARD KP N, LAKEBAY, WA 98349-8186
(916) 783-7254
(253) 884-1248
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002663
WA
106H00000X
Marriage & Family Therapist
MFC24750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001067987
MHN
CA
01
—
1021-02
PACIFICARE
CA
01
—
A137329
VALUE OPTIONS
CA
01
—
ZZZ56345Z
BLUE SHIELD
CA
Enumeration date
07/26/2006
Last updated
05/13/2011
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