Individual
DR. RICHARD A SLAUGHTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD P.C.
Contact information
Practice address
7356 LOVE CIR, FT WORTH, TX 76135-4327
(817) 417-8782
(817) 417-8766
Mailing address
800 W ARBROOK BLVD, STE 330, ARLINGTON, TX 76015-4327
(817) 417-8782
(817) 417-8766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22893
STATE LICENSE
TX
01
—
87027A
BCBS OF TX PROVIDER#
TX
Enumeration date
02/27/2007
Last updated
07/08/2007
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