Individual
KATHLEEN MARIE SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP
Contact information
Practice address
155 SOUTH STREET, STE 101, WRENTHAM, MA 02093-2838
(508) 964-3330
Mailing address
39 BARTON RD, FOXBOROUGH, MA 02035-2838
(508) 596-6720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197713
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
197713
MA
Other
Enumeration date
03/09/2022
Last updated
07/21/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us