Individual
KARL A. SLAIKEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1717 W 6TH ST, SUITE 215, AUSTIN, TX 78703-4773
(512) 474-5132
(512) 474-4645
Mailing address
1717 W 6TH ST, SUITE 215, AUSTIN, TX 78703-4776
(512) 474-5132
(512) 474-4645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FJ97
BC/BS OF TEXAS
TX
Enumeration date
08/03/2006
Last updated
07/08/2007
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